Individual provider Active NPI

Michelle Thomas-Ross, MSW, LISW

  • Clinical Social Worker
  • Des Moines, IA
National Provider Identifier
1275258071
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06770 Issued in IA
Practice address
2708 Grand Ave
Des Moines, IA 50312-5218
Phone
(515) 957-1692
NPI assigned
Oct 5, 2022
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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 06770 IA Primary

Addresses

Primary practice location

2708 Grand Ave
Des Moines, IA 50312-5218

Mailing address

6010 NE 12TH Ave
Pleasant Hill, IA 50327-8804
Phone (515) 822-2371

Other practice location 1

6036 NE 12th Ave
Pleasant Hill, IA 50327-8823
Phone (515) 822-2371

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
I20260430000335 IA Practitioner - Clinical Social Worker 9739656489 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1776 W Lakes Pkwy
Suite 400
West Des Moines, IA 50266-8378

1776 Westlakes Pkwy
Suite 400
West Des Moines, IA 50266-8393

PO Box
Kansas City, MO 64184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06770IAMDGeneral Practice Dentistry

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1275258071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 NE 12TH AVE",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503278804",
            "telephone_number": "515-822-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125218",
            "telephone_number": "515-957-1692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6036 NE 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Pleasant Hill",
            "state": "IA",
            "postal_code": "503278823",
            "country_code": "US",
            "telephone_number": "515-822-2371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS-ROSS",
        "first_name": "MICHELLE",
        "credential": "MSW, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.