Active NPI
Myob LLC
- Clinical Social Worker
- Des Moines, IA
National Provider Identifier
1265319362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MYOB LLC
- Practice address
- 2323 Grand Ave Ste 203
Des Moines, IA 50312-5381 - Phone
- (515) 412-0240
- Fax
- (515) 400-1350
- NPI assigned
- Aug 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jen Wollum
- Title
- Billing
- Phone
- (712) 363-0917
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2323 Grand Ave Ste 203
Des Moines, IA 50312-5381
Mailing address
874 41St St
Des Moines, IA 50312-2610
Phone (515) 412-0240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2323 Grand Ave
Ste 203
Des Moines, IA 50312
Phone (515) 412-0240
2323 Grand Ave
Ste 145
Des Moines, IA 50312
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Des Moines, IA
- NPI 1912713330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778025600000",
"number": "1265319362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "874 41ST ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503122610",
"telephone_number": "515-412-0240",
"fax_number": "515-400-1350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 GRAND AVE STE 203",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503125381",
"telephone_number": "515-412-0240",
"fax_number": "515-400-1350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYOB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-19",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A",
"authorized_official_last_name": "WOLLUM",
"authorized_official_first_name": "JEN",
"authorized_official_title_or_position": "BILLING",
"authorized_official_telephone_number": "712-363-0917"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.