Individual provider Active NPI

Diana Sue McPeck, LISW

  • Clinical Social Worker
  • West Des Moines, IA
National Provider Identifier
1386734507
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
01224 Issued in IA
Practice address
1701 48TH St Ste 120
West Des Moines, IA 50266-6723
Phone
(515) 331-0303
Fax
(515) 331-9086
NPI assigned
Oct 16, 2006
Last updated
Mar 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 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 01224 IA Primary

Addresses

Primary practice location

1701 48TH St Ste 120
West Des Moines, IA 50266-6723

Mailing address

1701 48TH St Ste 120
West Des Moines, IA 50266-6723
Phone (515) 331-0303

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
I20230301000398 IA Practitioner - Clinical Social Worker 9436522083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vermeer Quist Consulting LLCGroup PAC ID 2365725744, 5 clinicians

Practice addresses (Care Compare)

1701 48TH St
West Des Moines, IA 50266-6723
Phone (515) 331-0303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01224IAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Vermeer Quist Consulting, LLC CurrentSince Apr 10, 2023 Accepting new patients

Locations

1701 48th St
Ste 120
West Des Moines, IA 50266
Phone (515) 224-1474

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1386734507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 48TH ST STE 120",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666723",
            "telephone_number": "515-331-0303",
            "fax_number": "515-331-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 48TH ST STE 120",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666723",
            "telephone_number": "515-331-0303",
            "fax_number": "515-331-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPECK",
        "first_name": "DIANA",
        "middle_name": "SUE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "01224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.