Active NPI
Lisa Anne Clement, LICSW
- Clinical Social Worker
- Des Moines, IA
National Provider Identifier
1659463768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 007639
- Practice address
- 808 5TH Ave
Des Moines, IA 50309-1307 - Phone
- (515) 244-2267
- Fax
- (515) 244-1922
- NPI assigned
- Sep 28, 2006
- 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 | 14201 | MN | |
| Clinical Social Worker | 1041C0700X | 007639 | IA | Primary |
Addresses
Primary practice location
808 5TH Ave
Des Moines, IA 50309-1307
Mailing address
808 5TH Ave
Des Moines, IA 50309-1307
Phone (515) 244-2267
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 445297600 | Medicaid | MN |
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 |
|---|---|---|---|
| 14201 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kavalier & Associates PC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1659463768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 5TH AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091307",
"telephone_number": "515-244-2267",
"fax_number": "515-244-1922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 5TH AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091307",
"telephone_number": "515-244-2267",
"fax_number": "515-244-1922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENT",
"first_name": "LISA",
"middle_name": "ANNE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "14201",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "007639",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "445297600",
"state": "MN"
}
],
"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 Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.