Active NPI
Jennifer S Stimson, LMSW
- Social Worker
- Des Moines, IA
National Provider Identifier
1629818992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 124490
- Practice address
- 1400 Walnut St Ste 103
Des Moines, IA 50309-1238 - Phone
- (515) 333-1789
- NPI assigned
- May 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 124490 | IA | MD | Social Worker |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 124490 | IA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1400 Walnut St Ste 103
Des Moines, IA 50309-1238
Mailing address
PO Box 71263
Clive, IA 50325-0263
Phone (515) 205-6752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 25, 2024.
{
"created_epoch": "1716595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716595200000",
"number": "1629818992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 71263",
"city": "CLIVE",
"state": "IA",
"postal_code": "503250263",
"telephone_number": "515-205-6752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 WALNUT ST STE 103",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091238",
"telephone_number": "515-333-1789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIMSON",
"first_name": "JENNIFER",
"middle_name": "S",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-25",
"last_updated": "2024-05-25",
"certification_date": "2024-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "124490",
"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 25, 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.