Individual provider Active NPI

Angela La Luzerne, LCSW, LISW, LCADC

  • Clinical Social Worker
  • West Des Moines, IA
National Provider Identifier
1417151267
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
106697 Issued in IA
Practice address
4949 Westown Pkwy Ste 100
West Des Moines, IA 50266-6704
Phone
(515) 344-2060
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 33131 MN
Clinical Social Worker 1041C0700X LCSW-22379 AZ
Clinical Social Worker 1041C0700X SWI.LW.61660871 WA
Social Worker 104100000X 11373-C NV
Clinical Social Worker 1041C0700X 115987 TX
Clinical Social Worker 1041C0700X 106697 IA Primary
Clinical Social Worker 1041C0700X CSW.09931667 CO
Clinical Social Worker 1041C0700X 120292 CA

Addresses

Primary practice location

4949 Westown Pkwy Ste 100
West Des Moines, IA 50266-6704

Mailing address

3775 Ep True Pkwy
PMB #193
West Des Moines, IA 50265-7696
Phone (702) 306-0368

Other names 1

  • Angela Baur Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX, AZ, IA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20250530001978 CO Practitioner - Clinical Social Worker 2062921208 Reassigns benefits to 1 organization
I20250609000141 TX Practitioner - Clinical Social Worker 2062921208 Reassigns benefits to 1 organization
I20250610003520 AZ Practitioner - Clinical Social Worker 2062921208 Reassigns benefits to 1 organization
I20260310000613 IA Practitioner - Clinical Social Worker 2062921208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1801 Hickman Rd
Des Moines, IA 50314-1597

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11373-CNVMDSocial Worker
LCSW-22379AZMDClinical Social Worker
120292CAMDClinical Social Worker
CSW.09931667COMDClinical Social Worker
106697IAMDClinical Social Worker
SWI.LW.61660871WAMDClinical Social Worker
115987TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Broadlawns Medical Center CurrentSince Feb 1, 2026 Accepting new patients
Livara Health Medical Group PC CurrentSince May 1, 2025 Accepting new patients
Broadlawns Medical Center CurrentSince Feb 1, 2026 Accepting new patients
Livara Health Medical Group NJ, PC Past Accepting new patients
Sarah L Bowen, LLC Clinical Past Accepting new patients
Spinezone Medical Fitness, Inc. Past Accepting new patients

Locations

20860 N Tatum Blvd
Phoenix, AZ 85050
Phone (469) 774-7740

12865 Pointe del Mar Way
Ste 190
Del Mar, CA 92014
Phone (619) 432-4634

7525 Metropolitan Dr
Ste 306
San Diego, CA 92108
Phone (619) 275-7460

6275 Joyce Dr
Arvada, CO 80403
Phone 84431679797628

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

2550 Pacific Ave
Ste 700800
Dallas, TX 75226

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1417151267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 EP TRUE PKWY",
            "address_2": "PMB #193",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502657696",
            "telephone_number": "702-306-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 WESTOWN PKWY STE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666704",
            "telephone_number": "515-344-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA LUZERNE",
        "first_name": "ANGELA",
        "credential": "LCSW, LISW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "33131",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-22379",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SWI.LW.61660871",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "11373-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "115987",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "106697",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09931667",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "120292",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BAUR",
            "credential": "LICSW, LCSW, LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.