Ellen Elizabeth Van Dam, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

100101 Issued in IA

Practice address

6150 Village View Dr Ste 102
West Des Moines, IA 50266-5889

Phone

(515) 327-7036

NPI assigned

Jun 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 29, 2023 through Nov 29, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Assessment Services Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Des Moines, IA
  • NPI 1730652371
  NPD (past)
• Kalm Therapy Group PLLC

  • Clinical Social Worker
  • West Des Moines, IA
  • NPI 1578057949
  NPD (past)
• Rooted Insights, PLC

  • Mental Health Counselor
  • Urbandale, IA
  • NPI 1073265633
  NPD (past)

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1699391920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 VILLAGE VIEW DR STE 102",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665889",
            "telephone_number": "515-327-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 VILLAGE VIEW DR STE 102",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665889",
            "telephone_number": "515-327-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DAM",
        "first_name": "ELLEN",
        "middle_name": "ELIZABETH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "100101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle R. Valentine, D.O.
• Valerie Kounkel DO PLLC
• Valley Chiropractic Center, PLLC
• Valley Eye Clinic PC
• Markita Jo Valliere, ARNP
• Sarah Marie Van de Weert, PHD, LP
• Jon Jay Van Der Veer, DO
• Paige Van Dyk, MA CCC- SLP
• Deborah Marie Van Latenstein, L.AC., DIPL. OM
• Kyla Rose Van Woudenberg

• Clinical Social Worker in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.

Verify at the official NPI Registry.