Individual provider Active NPI

Elizabeth Jaclyn Huebsch, LMSW

  • Social Worker
  • West Des Moines, IA
National Provider Identifier
1669757662
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
007533 Issued in IA
Practice address
950 Office Park Rd Ste 221
West Des Moines, IA 50265-2548
Phone
(515) 313-3939
NPI assigned
Oct 21, 2011
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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 007533 IA Primary

Addresses

Primary practice location

950 Office Park Rd Ste 221
West Des Moines, IA 50265-2548

Mailing address

541 35TH St
Apt 4
Des Moines, IA 50312-3437
Phone (515) 313-3939

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

LicenseStateTypeSpecialty
007533IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Star Therapy, LLC Social Worker Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1669757662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 35TH ST",
            "address_2": "APT 4",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503123437",
            "telephone_number": "515-313-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 OFFICE PARK RD STE 221",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652548",
            "telephone_number": "515-313-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUEBSCH",
        "first_name": "ELIZABETH",
        "middle_name": "JACLYN",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-21",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "007533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.