Johanna A Haack, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

118669 Issued in IA

Practice address

1730 28TH St
West Des Moines, IA 50266-1436

Phone

(515) 276-6338

Fax

(515) 598-7452

NPI assigned

Jul 11, 2023

Last updated

Jul 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Stepping Stone Family Services Inc.

  dba Stepping Stone Family Services

  • Mental Health Counselor
  • West Des Moines, IA
  • NPI 1447585377
  NPD

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1265111934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 28TH ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661436",
            "telephone_number": "515-276-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 28TH ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661436",
            "telephone_number": "515-276-6338",
            "fax_number": "515-598-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAACK",
        "first_name": "JOHANNA",
        "middle_name": "A",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "118669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Giulia Gutierrez-Bastoni, MS
• Stephen T. H. Gutu, M.D.
• Whitney Leigh Guyatt
• H W Halling MD PC
• Christy K Haack, PA-C
• Kassandra Marie Haag, PT, DPT
• Blake Habisch
• Casandra Hackman
• Joel Edward Hade, M.D.
• Anita A Hadley, CRNA

• Clinical Social Worker in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.