Individual provider Active NPI

Gloria T Krause, LISW

  • Social Worker
  • Des Moines, IA
National Provider Identifier
1669604278
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
007236 Issued in IA
Practice address
333 SW 9TH St
Suite J
Des Moines, IA 50309-4440
Phone
(515) 554-0878
Fax
(515) 777-1719
NPI assigned
Aug 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 007236 IA Primary

Addresses

Primary practice location

333 SW 9TH St
Suite J
Des Moines, IA 50309-4440

Mailing address

147 Paine St SE Ste J
Bondurant, IA 50035-1003
Phone (515) 554-0878

Other identifiers 1

IdentifierTypeStateIssuer
27-2123775MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: No
  • 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
I20151027000815 IA Practitioner - Clinical Social Worker 3577872985 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Post Acute Care PLLC CurrentSince May 1, 2024 Accepting new patients

Locations

2001 Kennedy St
Granger, IA 50109
Phone (515) 999-2588

100 Ram Dr
Jefferson, IA 50129
Phone (515) 386-4107

204 N Keokuk Washington Rd
Keota, IA 52248
Phone (641) 636-3400

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": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1669604278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 PAINE ST SE STE J",
            "city": "BONDURANT",
            "state": "IA",
            "postal_code": "500351003",
            "telephone_number": "515-554-0878",
            "fax_number": "515-967-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SW 9TH ST",
            "address_2": "SUITE J",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503094440",
            "telephone_number": "515-554-0878",
            "fax_number": "515-777-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSE",
        "first_name": "GLORIA",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-14",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "007236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27-2123775",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.