Individual provider Active NPI

Abraham Robert Goetz, LISW

  • Social Worker
  • West Des Moines, IA
National Provider Identifier
1205508835
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
098266 Issued in IA
Practice address
1001 Office Park Rd Ste 115
West Des Moines, IA 50265-2509
Phone
(515) 207-5130
NPI assigned
Oct 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 098266 IA Primary

Addresses

Primary practice location

1001 Office Park Rd Ste 115
West Des Moines, IA 50265-2509

Mailing address

3028 SW 39TH St
Des Moines, IA 50321-1334
Phone (515) 207-5130

Other practice location 1

213 N Ankeny Blvd Ste 100
Ankeny, IA 50023-1749
Phone (515) 705-0174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 29, 2024 through Jan 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
098266IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Therapy Solutions, PLLC CurrentSince Dec 10, 2023 Accepting new patients
Full Heart Family Therapy and Renewal Center LLC PastSince Oct 1, 2022 Accepting new patients
Choices Therapy Services, LLC PastSince Oct 1, 2021 Accepting new patients
Choices Therapy Services, LLC PastSince Oct 1, 2021 Accepting new patients

Locations

1001 Office Park Rd
Ste 115
West Des Moines, IA 50265
Phone (515) 207-5130

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1205508835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 SW 39TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503211334",
            "telephone_number": "515-207-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 OFFICE PARK RD STE 115",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652509",
            "telephone_number": "515-207-5130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 N Ankeny Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500231749",
            "country_code": "US",
            "telephone_number": "515-705-0174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "ABRAHAM",
        "middle_name": "ROBERT",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-01",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "098266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.