Individual provider Active NPI

Rachel Lynn Wassenaar, LMSW

  • Clinical Social Worker
  • Des Moines, IA
National Provider Identifier
1427280775
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007255 Issued in IA
Practice address
435 E Grand Ave
Des Moines, IA 50309-1919
Phone
(515) 243-3525
Fax
(515) 283-2256
NPI assigned
Aug 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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 007255 IA Primary

Addresses

Primary practice location

435 E Grand Ave
Des Moines, IA 50309-1919

Mailing address

301 W Burlington Ave
Fairfield, IA 52556-3242
Phone (641) 472-1684

Other identifiers 1

IdentifierTypeStateIssuer
107314000OtherIAIOWA PLAN

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
I20141224000202 IA Practitioner - Clinical Social Worker 0941523930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

507 18TH St
Suite a
Spirit Lake, IA 51360-1552
Phone (712) 336-8126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lakes Counseling PLLC Clinical CurrentSince Mar 8, 2019 Accepting new patients
Rescare, Inc Past Accepting new patients

Locations

507 18th St
Ste A
Spirit Lake, IA 51360
Phone (512) 230-3919

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.

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1427280775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W BURLINGTON AVE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563242",
            "telephone_number": "641-472-1684",
            "fax_number": "641-472-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091919",
            "telephone_number": "515-243-3525",
            "fax_number": "515-283-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSENAAR",
        "first_name": "RACHEL",
        "middle_name": "LYNN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA PLAN",
            "identifier": "107314000",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.