Active NPI
Charles Ray Mercer, LMSW
- Social Worker
- Des Moines, IA
National Provider Identifier
1568299964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 101859
- Practice address
- 2340 Euclid Ave
Des Moines, IA 50310-5702 - Phone
- (515) 235-5224
- Fax
- (866) 672-0706
- NPI assigned
- Sep 18, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 101859 | IA | Primary |
Addresses
Primary practice location
2340 Euclid Ave
Des Moines, IA 50310-5702
Mailing address
513 NE Innsbruck Dr
Ankeny, IA 50021-1940
Phone (515) 883-0106
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
| License | State | Type | Specialty |
|---|---|---|---|
| 101859 | IA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Easter Seal Society of Iowa, Inc. | Past | Accepting new patients | |
| Innovative Counseling & Consulting, Inc. | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Des Moines, IA
- NPI 1275873499
-
dba Easter Seals Iowa
- Voluntary or Charitable Agency
- Des Moines, IA
- NPI 1295739951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1568299964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 NE INNSBRUCK DR",
"city": "ANKENY",
"state": "IA",
"postal_code": "500211940",
"telephone_number": "515-883-0106"
},
{
"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": "515-235-5224",
"fax_number": "866-672-0706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCER",
"first_name": "CHARLES",
"middle_name": "RAY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-18",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "101859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
- Jodi L Menninga, DNP, ARNP, PMHNP-BC
- Carol Alice Mensink, LMSW
- Emily Mentzer Driscoll, OTR
- Cassie N Menz, RD, LD
- Lisa J Menzies, MD
- Michelle D Mercer, DDS
- Tiffany Mercer
- Katherine Louise Mercuris, P.T.
- Mercy Clinics Inc (MercyOne Des Moines General Surgery Residency Program)
- Mercy Clinics Inc (Mercy Quick Care Physicians)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.