Individual provider Active NPI

Sarita Roby, LMSW

  • Clinical Social Worker
  • Des Moines, IA
National Provider Identifier
1427563972
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086891 Issued in IA
Practice address
2340 Euclid Ave
Des Moines, IA 50310-5702
Phone
(515) 263-0019
Fax
(515) 263-0042
NPI assigned
Dec 6, 2017
Last updated
Dec 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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 086891 IA Primary

Addresses

Primary practice location

2340 Euclid Ave
Des Moines, IA 50310-5702

Mailing address

1256 Office Park Rd Apt 17
West Des Moines, IA 50265-2468
Phone (515) 619-3034

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
I20200130001014 IA Practitioner - Clinical Social Worker 7911333547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Mosaic Family Counseling Center IncGroup PAC ID 3577860501, 6 clinicians

Practice addresses (Care Compare)

6200 Aurora Ave
Suite 305E
Urbandale, IA 50322-2863
Phone (515) 724-8920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
086891IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Family Counseling Center, Inc. CurrentSince May 1, 2024 Accepting new patients

Locations

6200 Aurora Ave
Ste 305E
Urbandale, IA 50322
Phone (515) 724-8920

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": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1427563972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 OFFICE PARK RD APT 17",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652468",
            "telephone_number": "515-619-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 EUCLID AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503105702",
            "telephone_number": "515-263-0019",
            "fax_number": "515-263-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBY",
        "first_name": "SARITA",
        "name_prefix": "Miss",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "086891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.