Individual provider Active NPI

Scott Michael Dubree, LMSW

  • Social Worker
  • Des Moines, IA
National Provider Identifier
1548966773
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
086596 Issued in IA
Practice address
1223 Center St Ste 17
Des Moines, IA 50309-1016
Phone
(515) 699-5637
Fax
(515) 288-3945
NPI assigned
Jan 31, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 086596 IA Primary

Addresses

Primary practice location

1223 Center St Ste 17
Des Moines, IA 50309-1016

Mailing address

1223 Center St Ste 17
Des Moines, IA 50309-1016
Phone (515) 868-5637

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

LicenseStateTypeSpecialty
086596IAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1548966773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 CENTER ST STE 17",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091016",
            "telephone_number": "515-868-5637",
            "fax_number": "515-288-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 CENTER ST STE 17",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091016",
            "telephone_number": "515-699-5637",
            "fax_number": "515-288-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBREE",
        "first_name": "SCOTT",
        "middle_name": "MICHAEL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "086596",
            "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 Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.