Individual provider Active NPI

Dana Michelle Kozisek, LISW

  • Clinical Social Worker
  • Garner, IA
National Provider Identifier
1699288118
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06551 Issued in IA
Practice address
2795 Reed Ave
Garner, IA 50438-8548
Phone
(515) 518-0636
NPI assigned
Nov 6, 2017
Last updated
Apr 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 97118 IA
Clinical Social Worker 1041C0700X 06551 IA Primary
Clinical Social Worker 1041C0700X 20201019744 MO

Addresses

Primary practice location

2795 Reed Ave
Garner, IA 50438-8548

Mailing address

2795 Reed Ave
Garner, IA 50438-8548
Phone (515) 290-0057

Other names 1

  • Dana Michelle Wickwire Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • 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
I20171130002174 IA Practitioner - Clinical Social Worker 9830456797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2795 Reed Ave
Garner, IA 50438-8548
Phone (515) 518-0636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
97118IAMDAddiction (Substance Use Disorder) Counselor
06551IAMDClinical Social Worker
20201019744MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
DMW Behavioral Health Services, LLC Clinical CurrentSince Feb 20, 2023 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": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1699288118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 REED AVE",
            "city": "GARNER",
            "state": "IA",
            "postal_code": "504388548",
            "telephone_number": "515-290-0057",
            "fax_number": "507-416-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 REED AVE",
            "city": "GARNER",
            "state": "IA",
            "postal_code": "504388548",
            "telephone_number": "515-518-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZISEK",
        "first_name": "DANA",
        "middle_name": "MICHELLE",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "97118",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06551",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "20201019744",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "WICKWIRE",
            "middle_name": "MICHELLE",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Garner, IA

Sources for this page

Verify at the official NPI Registry.