Individual provider Active NPI

Penny Sax

  • Clinical Social Worker
  • Des Moines, IA
National Provider Identifier
1417207820
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
008058 Issued in IA
Practice address
1084 25TH St
Des Moines, IA 50311-4255
Phone
(515) 975-3845
NPI assigned
Sep 12, 2012
Last updated
Sep 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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 008058 IA Primary

Addresses

Primary practice location

1084 25TH St
Des Moines, IA 50311-4255

Mailing address

1084 25TH St
Des Moines, IA 50311-4255
Phone (515) 975-3845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Counseling Service, LLC CurrentSince Jul 24, 2022 Accepting new patients

Locations

6200 Aurora Ave
Ste 103E
Urbandale, IA 50322
Phone (515) 401-6886

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": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1417207820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 25TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503114255",
            "telephone_number": "515-975-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 25TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503114255",
            "telephone_number": "515-975-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAX",
        "first_name": "PENNY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "008058",
            "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 Sep 12, 2012; 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.