Active NPI
Kathleen Warren, LISW, CADC
- Clinical Social Worker
- Des Moines, IA
National Provider Identifier
1417199878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 007997
- Practice address
- 1200 University Ave Ste 200
Des Moines, IA 50314-2355 - Phone
- (515) 248-1447
- Fax
- (515) 248-1440
- NPI assigned
- Apr 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 06150 | IA | |
| Clinical Social Worker | 1041C0700X | 007997 | IA | Primary |
Addresses
Primary practice location
1200 University Ave Ste 200
Des Moines, IA 50314-2355
Mailing address
2353 SE 14TH St
Des Moines, IA 50320-1109
Phone (515) 248-1484
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Primary Health Care Inc
Practice addresses (Care Compare)
3509 E 29TH St
Des Moines, IA 50317-4253
Phone (515) 248-1600
6200 Aurora Ave
Suite 103E
Urbandale, IA 50322-6338
Phone (515) 401-6886
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06150 | IA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Beginnings Counseling Service, LLC | Current | Accepting new patients | |
| New Beginnings Counseling Service, LLC | Current | Accepting new patients |
Locations
6200 Aurora Ave
Ste 103E
Urbandale, IA 50322
Phone (515) 401-6886
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.
-
- Community/Behavioral Health Agency
- Urbandale, IA
- NPI 1235357856
-
- Social Worker
- Urbandale, IA
- NPI 1972808954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486080000000",
"number": "1417199878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2353 SE 14TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503201109",
"telephone_number": "515-248-1484",
"fax_number": "515-248-1410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 UNIVERSITY AVE STE 200",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503142355",
"telephone_number": "515-248-1447",
"fax_number": "515-248-1440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "LISW, CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-01",
"last_updated": "2017-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IA",
"license": "06150",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "007997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.