Individual provider Active NPI

Kevin Scott Brown, LMSW

  • Social Worker
  • Windsor Heights, IA
National Provider Identifier
1477709228
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
007136 Issued in IA
Practice address
974 73Rd St
Suite 24
Windsor Heights, IA 50324-1024
Phone
(515) 200-7979
Fax
(515) 267-9057
NPI assigned
Aug 13, 2008
Last updated
Feb 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 00076 IA
Social Worker 104100000X 007136 IA Primary

Addresses

Primary practice location

974 73Rd St
Suite 24
Windsor Heights, IA 50324-1024

Mailing address

973 73Rd St, Ste 24
Windsor Heights, IA 50324-1024
Phone (515) 200-7979

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
I20251112003902 IA Practitioner - Clinical Social Worker 6406347921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Clinical Associates PLLCGroup PAC ID 2062648017, 25 clinicians

Practice addresses (Care Compare)

2500 82ND PL
Urbandale, IA 50322-4329
Phone (515) 412-5112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00076IAMDAddiction (Substance Use Disorder) Counselor
007136IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Clinical Associates PLLC Social Worker CurrentSince Oct 1, 2025 Accepting new patients
L Baxter Lisw LLC Past Accepting new patients
Brown Therapy Resources LLC Past Accepting new patients

Locations

2500 82nd Pl
Urbandale, IA 50322
Phone (515) 270-1344

Organizations & group practices 3

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": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1477709228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 73RD ST, STE 24",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503241024",
            "telephone_number": "515-200-7979",
            "fax_number": "515-276-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 73RD ST",
            "address_2": "SUITE 24",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503241024",
            "telephone_number": "515-200-7979",
            "fax_number": "515-267-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KEVIN",
        "middle_name": "SCOTT",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-13",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "00076",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "007136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Heights, IA

Sources for this page

Verify at the official NPI Registry.