Individual provider Active NPI

Mark Cowan, LISW

  • Clinical Social Worker
  • Des Moines, IA
National Provider Identifier
1609966811
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00840 Issued in IA
Practice address
925 Porter Ave
Des Moines, IA 50315-7235
Phone
(515) 287-9640
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 00840 IA Primary

Addresses

Primary practice location

925 Porter Ave
Des Moines, IA 50315-7235

Mailing address

925 Porter Ave
Des Moines, IA 50315-7235
Phone (515) 287-9640

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
I20180126002329 IA Practitioner - Clinical Social Worker 3971863689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

950 Office Park Rd
Suite 321
West Des Moines, IA 50265-2548
Phone (515) 375-2671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00840IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Cowan Counseling LLC Clinical CurrentSince May 13, 2021 Accepting new patients
Orchard Place Past Accepting new patients

Locations

950 Office Park Rd
Ste 321
West Des Moines, IA 50265
Phone (515) 279-2834

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609966811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 PORTER AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503157235",
            "telephone_number": "515-287-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 PORTER AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503157235",
            "telephone_number": "515-287-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "MARK",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "00840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.