Individual provider Active NPI

Antonia Luz Valadez, LMSW

  • Clinical Social Worker
  • Des Moines, IA
National Provider Identifier
1508207168
Registry record updated May 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0008245 Issued in IA
Practice address
4685 Merle Hay Rd Ste 108
Des Moines, IA 50322-1982
Phone
(515) 344-4483
Fax
(515) 724-7991
NPI assigned
Jul 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2020

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 0008245 IA Primary

Addresses

Primary practice location

4685 Merle Hay Rd Ste 108
Des Moines, IA 50322-1982

Mailing address

4685 Merle Hay Rd Ste 108
Des Moines, IA 50322-1982
Phone (515) 344-4483

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
I20200702001309 IA Practitioner - Clinical Social Worker 3173946530

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 SW 7TH St
Suite 302
Des Moines, IA 50309-4545
Phone (515) 344-4483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0008245IAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589673600000",
    "number": "1508207168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 MERLE HAY RD STE 108",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503221982",
            "telephone_number": "515-344-4483",
            "fax_number": "515-724-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4685 MERLE HAY RD STE 108",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503221982",
            "telephone_number": "515-344-4483",
            "fax_number": "515-724-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALADEZ",
        "first_name": "ANTONIA",
        "middle_name": "LUZ",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2020-05-17",
        "certification_date": "2020-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "0008245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.