Individual provider Active NPI

Delphine Linda Weiss, LISW

  • Clinical Social Worker
  • Ankeny, IA
National Provider Identifier
1679133169
Registry record updated Nov 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
095369 Issued in IA
Practice address
2425 N Ankeny Blvd Ste 106
Ankeny, IA 50023-4722
Phone
(515) 520-9378
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 095369 IA
Clinical Social Worker 1041C0700X 2024027294 MO
Clinical Social Worker 1041C0700X 095369 IA Primary

Addresses

Primary practice location

2425 N Ankeny Blvd Ste 106
Ankeny, IA 50023-4722

Mailing address

12051 Lincoln Ave
Clive, IA 50325-8226
Phone (515) 520-9378

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
095369IAMDSocial Worker
2024027294MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elemental Emdr & More, PC Clinical CurrentSince May 19, 2024 Accepting new patients

Locations

2425 N Ankeny Blvd
Ste 106
Ankeny, IA 50023
Phone (515) 489-4602

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": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1679133169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12051 LINCOLN AVE",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258226",
            "telephone_number": "515-520-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 N ANKENY BLVD STE 106",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234722",
            "telephone_number": "515-520-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "DELPHINE",
        "middle_name": "LINDA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "095369",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2024027294",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "095369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.

Verify at the official NPI Registry.