Active NPI
Pamela Banning, LISW
- Clinical Social Worker
- Des Moines, IA
National Provider Identifier
1609184126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 115371
- Practice address
- 1221 Pleasant St, Suite 450
Des Moines, IA 50309-3518 - Phone
- (515) 241-4234
- NPI assigned
- Sep 17, 2010
- Last updated
- May 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 68112 | CA | |
| Clinical Social Worker | 1041C0700X | 115371 | IA | Primary |
Addresses
Primary practice location
1221 Pleasant St, Suite 450
Des Moines, IA 50309-3518
Mailing address
1221 Pleasant St, Suite 450
Des Moines, IA 50309
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 |
|---|---|---|---|
| 68112 | CA | MD | Clinical Social Worker |
| 115371 | IA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1609184126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 PLEASANT ST, SUITE 450",
"city": "DES MOINES",
"state": "IA",
"postal_code": "50309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 PLEASANT ST, SUITE 450",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503093518",
"telephone_number": "515-241-4234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANNING",
"first_name": "PAMELA",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-17",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "68112",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "115371",
"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 May 23, 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.