Active NPI
Karla A Mracek-Knight, LISW, RD
- Clinical Social Worker
- Des Moines, IA
National Provider Identifier
1669626396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 082963
- Practice address
- 400 E Court Ave Ste 236
Des Moines, IA 50309-2023 - Phone
- (515) 650-1812
- NPI assigned
- Nov 7, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 001841 | IA | |
| Clinical Social Worker | 1041C0700X | 082963 | IA | Primary |
Addresses
Primary practice location
400 E Court Ave Ste 236
Des Moines, IA 50309-2023
Mailing address
4505 29TH St
Des Moines, IA 50310-5824
Phone (563) 380-4118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2026 through Oct 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 082963 | IA | MD | Clinical Social Worker |
| 001841 | IA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671753600000",
"number": "1669626396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4505 29TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503105824",
"telephone_number": "563-380-4118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E COURT AVE STE 236",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503092023",
"telephone_number": "515-650-1812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MRACEK-KNIGHT",
"first_name": "KARLA",
"middle_name": "A",
"credential": "LISW, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-07",
"last_updated": "2022-12-23",
"certification_date": "2022-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "001841",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "082963",
"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 Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.