Individual provider Active NPI

Andrea Blunck, LISW

  • Clinical Social Worker
  • Des Moines, IA
National Provider Identifier
1245904341
Registry record updated Dec 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007500 Issued in IA
Practice address
500 Locust St
PMB 126
Des Moines, IA 50309
Phone
(515) 710-7894
NPI assigned
Aug 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 007500 IA Primary

Addresses

Primary practice location

500 Locust St
PMB 126
Des Moines, IA 50309

Mailing address

PO Box 672
Ankeny, IA 50021-0672
Phone (515) 710-7894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220822001157 IA Practitioner - Clinical Social Worker 5294118485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Flowstate Health LLCGroup PAC ID 1254718398, 14 clinicians

Practice addresses (Care Compare)

500 Locust St
Des Moines, IA 50309-4104
Phone (515) 805-0956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Flowstate Health LLC Clinical CurrentSince Sep 5, 2022 Accepting new patients

Locations

500 Locust St
Des Moines, IA 50309
Phone (515) 523-5550

Interoperability endpoints

  • Direct secure messaging: ablunck253330@uihcdirect.org

Organizations & group practices 1

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": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735344000000",
    "number": "1245904341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 672",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500210672",
            "telephone_number": "515-710-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LOCUST ST",
            "address_2": "PMB 126",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50309",
            "telephone_number": "515-710-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUNCK",
        "first_name": "ANDREA",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2024-12-28",
        "certification_date": "2024-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.