Individual provider Active NPI

Tyler D Patterson, LMSW

  • Clinical Social Worker
  • Des Moines, IA
National Provider Identifier
1346431442
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006966 Issued in IA
Practice address
5901 Thornton Ave Ste 101
Des Moines, IA 50321-2422
Phone
(515) 327-2000
Fax
(515) 327-2019
NPI assigned
Aug 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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 006966 IA Primary

Addresses

Primary practice location

5901 Thornton Ave Ste 101
Des Moines, IA 50321-2422

Mailing address

1316 S Main St
Clarion, IA 50525-2019
Phone (515) 532-2811

Other practice location 1

403 1st St SE
Belmond, IA 50421-1201
Phone (641) 444-3500

Other practice location 2

1111 Duff Ave Ste 2607
Ames, IA 50010-5745
Phone (515) 327-2000

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
I20210428000178 IA Practitioner - Clinical Social Worker 1850709080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Kansas School of Med (KC/Wich/Sal), 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eyerly Ball Community Mental Health ServicesGroup PAC ID 1456240993, 17 clinicians

Practice addresses (Care Compare)

1319 Pennsylvania Ave
Des Moines, IA 50316-2341
Phone (515) 243-5181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyerly Ball Community Mental Health Services CurrentSince Jul 7, 2025 Accepting new patients
Eyerly Ball Community Mental Health Services CurrentSince Jul 7, 2025 Accepting new patients

Locations

2521 University Blvd
Ste 121
Ames, IA 50010
Phone (515) 292-2150

1301 Center St
Des Moines, IA 50309
Phone 5152410982852

1301 Pennsylvania Ave
Ste 312
Des Moines, IA 50316
Phone (515) 263-2412

1319 Pennsylvania Ave
Des Moines, IA 50316
Phone (515) 243-5181

1007 S Jefferson Way
Indianola, IA 50125
Phone (515) 210-1554

Interoperability endpoints

  • Direct secure messaging: tpatterson201788@uihcdirect.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1346431442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 S MAIN ST",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "505252019",
            "telephone_number": "515-532-2811",
            "fax_number": "319-343-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 THORNTON AVE STE 101",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503212422",
            "telephone_number": "515-327-2000",
            "fax_number": "515-327-2019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 1st St SE",
            "address_purpose": "LOCATION",
            "city": "Belmond",
            "state": "IA",
            "postal_code": "504211201",
            "country_code": "US",
            "telephone_number": "641-444-3500",
            "fax_number": "641-444-5688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Duff Ave Ste 2607",
            "address_purpose": "LOCATION",
            "city": "Ames",
            "state": "IA",
            "postal_code": "500105745",
            "country_code": "US",
            "telephone_number": "515-327-2000",
            "fax_number": "515-327-2019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "TYLER",
        "middle_name": "D",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "006966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.