Active NPI
Janet Gideon, LMSW
- Clinical Social Worker
- Des Moines, IA
National Provider Identifier
1568911386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 081479
- Practice address
- 3812 Ingersoll Ave
Suite 100
Des Moines, IA 50312-3400 - Phone
- (515) 255-2500
- NPI assigned
- Sep 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 081479 | IA | Primary |
Addresses
Primary practice location
3812 Ingersoll Ave
Suite 100
Des Moines, IA 50312-3400
Mailing address
4108 Wakonda Pkwy
Des Moines, IA 50315-3353
Phone (515) 975-0769
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 |
|---|---|---|---|
| 081479 | IA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474848000000",
"number": "1568911386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4108 WAKONDA PKWY",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503153353",
"telephone_number": "515-975-0769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3812 INGERSOLL AVE",
"address_2": "SUITE 100",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503123400",
"telephone_number": "515-255-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIDEON",
"first_name": "JANET",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-22",
"last_updated": "2016-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "081479",
"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 Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.