Individual provider Active NPI

Scott Caldwell, LISW

  • Clinical Social Worker
  • Des Moines, IA
National Provider Identifier
1295820769
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06638 Issued in IA
Practice address
6601 SW 9TH St
Des Moines, IA 50315-6138
Phone
(515) 643-8350
Fax
(515) 643-5824
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinics Inc 441 clinicians

Practice addresses (Care Compare)

330 Laurel St
Suite 1200
Des Moines, IA 50314-3044
Phone (515) 643-6290

5900 E University Ave
Pleasant Hill, IA 50327-8467

5900 E University Ave
100 Mercyone Pleasant Hill Fam Med Clinic/U
Pleasant Hill, IA 50327-8457
Phone (515) 643-2400

6601 SW 9TH St
Des Moines, IA 50315-6138

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20171212002974 IA Practitioner - Clinical Social Worker 9830457225 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics, Inc Clinical CurrentSince Nov 18, 2024 Accepting new patients
Mercy Clinics, Inc. CurrentSince Nov 18, 2024 Accepting new patients
Mercy Clinics, Inc. Current Accepting new patients
Vera French Community Mental Health PastSince Dec 10, 2023 Accepting new patients
Family Counseling & Psychology Center P.C. PastSince Apr 5, 2011 Accepting new patients

Locations

330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

6601 SW 9th St
Des Moines, IA 50315
Phone (515) 643-9400

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 06638 IA
Clinical Social Worker 1041C0700X 06638 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

6601 SW 9TH St
Des Moines, IA 50315-6138

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-8350

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0283507MedicaidIA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 27, 2024.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1295820769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-643-8350",
            "fax_number": "515-643-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503156138",
            "telephone_number": "515-643-8350",
            "fax_number": "515-643-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "SCOTT",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "06638",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0283507",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.