Mikki Stimson, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

007285 Issued in IA

Practice address

15125 Beechwood Ave
Clive, IA 50325-4530

Phone

(515) 777-0646

NPI assigned

Aug 24, 2017

Last updated

Feb 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mikki Hamdorf Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25392/brand/1/csg/1/fhir/r4

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.

• Cascade Clinical Connections, LLC

  • Community/Behavioral Health Agency
  • Des Moines, IA
  • NPI 1821786708
  NPD Authorized official
• Grapevine Clinical LLC

  • Clinical Social Worker
  • West Des Moines, IA
  • NPI 1952837809
  NPD (past)

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1376060053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15125 BEECHWOOD AVE",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503254530",
            "telephone_number": "515-777-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15125 BEECHWOOD AVE",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503254530",
            "telephone_number": "515-777-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIMSON",
        "first_name": "MIKKI",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "007285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKKI",
            "last_name": "HAMDORF",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Michelle Stevens
• Nicole Stiles, RBT
• Alan Barth Stone, M.D.
• Valerie L Stratton, DO
• Timothy Michael Strazzo
• Candice Strickler, ARNP
• Kendyl Struve, OT

• Social Worker in Clive, IA
• Providers in Clive, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.