Active NPI
Grace Macmillan
- Clinical Social Worker
- Des Moines, IA
National Provider Identifier
1417535485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 098309
- Practice address
- 5409 SE 28TH St
Des Moines, IA 50320-2050 - Phone
- (515) 375-2414
- Fax
- (515) 217-4225
- NPI assigned
- Mar 31, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 098309 | IA | Primary |
Addresses
Primary practice location
5409 SE 28TH St
Des Moines, IA 50320-2050
Mailing address
5409 SE 28TH St
Des Moines, IA 50320-2050
Phone (515) 375-2414
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 098309 | IA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760313600000",
"number": "1417535485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5409 SE 28TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503202050",
"telephone_number": "515-375-2414",
"fax_number": "515-217-4225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5409 SE 28TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503202050",
"telephone_number": "515-375-2414",
"fax_number": "515-217-4225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACMILLAN",
"first_name": "GRACE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-31",
"last_updated": "2025-10-13",
"certification_date": "2025-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "098309",
"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 Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.