Active NPI
Blaine Conrad, LISW
- Clinical Social Worker
- West Des Moines, IA
National Provider Identifier
1336518059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 076934
- Practice address
- 1200 Valley West Dr Ste 704
West Des Moines, IA 50266-1907 - Phone
- (515) 732-9599
- Fax
- (515) 418-0890
- NPI assigned
- Sep 23, 2015
- Last updated
- Jan 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 076934 | IA | Primary |
Addresses
Primary practice location
1200 Valley West Dr Ste 704
West Des Moines, IA 50266-1907
Mailing address
1200 Valley West Dr Ste 704
West Des Moines, IA 50266-1907
Phone (515) 732-9599
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Blaine@helpingheartstherapyservices.com | Direct | Helping Hearts Therapy Services LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 076934 | IA | MD | Clinical Social Worker |
Interoperability endpoints
- blaine@helpingheartstherapyservices.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Social Worker
- West Des Moines, IA
- NPI 1790300689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1336518059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 VALLEY WEST DR STE 704",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502661907",
"telephone_number": "515-732-9599",
"fax_number": "515-418-0890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 VALLEY WEST DR STE 704",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502661907",
"telephone_number": "515-732-9599",
"fax_number": "515-418-0890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRAD",
"first_name": "BLAINE",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-23",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "076934",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Blaine@helpingheartstherapyservices.com",
"affiliation": "Y",
"endpointDescription": "email",
"affiliationName": "Helping Hearts Therapy Services LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PDF",
"address_1": "1200 Valley West Dr Ste 704",
"city": "West Des Moines",
"state": "IA",
"country_code": "US",
"postal_code": "502661907",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.