Individual provider Active NPI

Tony James Raymer, LISW, RPT-S

  • Clinical Social Worker
  • Des Moines, IA
National Provider Identifier
1306285473
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
008211 Issued in IA
Practice address
401 NE 66TH Ave
Des Moines, IA 50313-1243
Phone
(515) 309-2368
Fax
(515) 289-1281
NPI assigned
Jun 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 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 008211 IA Primary

Addresses

Primary practice location

401 NE 66TH Ave
Des Moines, IA 50313-1243

Mailing address

401 NE 66TH Ave
Des Moines, IA 50313-1243
Phone (515) 309-2368

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
I20151030001261 IA Practitioner - Clinical Social Worker 1951611102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Easter Seal Society of Iowa IncGroup PAC ID 1557770120, 4 clinicians

Practice addresses (Care Compare)

401 NE 66TH Ave
Des Moines, IA 50313-1243
Phone (515) 289-1933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1306285473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 NE 66TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503131243",
            "telephone_number": "515-309-2368",
            "fax_number": "515-289-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NE 66TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503131243",
            "telephone_number": "515-309-2368",
            "fax_number": "515-289-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMER",
        "first_name": "TONY",
        "middle_name": "JAMES",
        "credential": "LISW, RPT-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-21",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "008211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.