Individual provider Active NPI

Jami Lynn Malone, LISW

  • Clinical Social Worker
  • West Des Moines, IA
National Provider Identifier
1679639843
Registry record updated Jan 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05885 Issued in IA
Practice address
3408 Woodland Ave
Suite 210 D
West Des Moines, IA 50266-6506
Phone
(515) 421-7891
Fax
(515) 608-4484
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 05885 IA Primary

Addresses

Primary practice location

3408 Woodland Ave
Suite 210 D
West Des Moines, IA 50266-6506

Mailing address

3408 Woodland Ave Ste 210a
West Des Moines, IA 50266-6506
Phone (515) 421-7891

Other names 1

  • Ms. Jami Lynn Ciric Former name

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
05885IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Family Practice Inc PastSince Apr 20, 2015 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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737763200000",
    "number": "1679639843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 WOODLAND AVE STE 210A",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666506",
            "telephone_number": "515-421-7891",
            "fax_number": "515-608-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 WOODLAND AVE",
            "address_2": "SUITE 210 D",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666506",
            "telephone_number": "515-421-7891",
            "fax_number": "515-608-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "JAMI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "05885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMI",
            "last_name": "CIRIC",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 25, 2025; 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.