Active NPI
Denise Lauren Kelley Edwards, LISW
- Social Worker
- West Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 086198
- Practice address
- 5550 Wild Rose LN Ste 400
West Des Moines, IA 50266-5351 - Phone
- (515) 322-7986
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 086198 | IA | Primary |
Addresses
Primary practice location
5550 Wild Rose LN Ste 400
West Des Moines, IA 50266-5351
Mailing address
5465 Mills Civic Pkwy Ste 3319
West Des Moines, IA 50266-5318
Phone (515) 322-7986
Other names 1
- Denise L. Edwards
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5465 Mills Civic Pkwy
Unit 319
West Des Moines, IA 50266-5326
Phone (515) 322-7986
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 086198 | IA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimae Lifeservices, Inc, | Current | Accepting new patients | |
| Optimae Lifeservices,Inc. | Current | Accepting new patients | |
| Nurse in the House, Inc. | Past | Accepting new patients |
Locations
2201 W Jefferson Ave
Fairfield, IA 52556
Phone (641) 472-1684
301 W Burlington Ave
Fairfield, IA 52556
Phone (641) 472-1684
Organizations & group practices 4
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.
-
- Social Worker
- West Des Moines, IA
- NPI 1245795863
-
- Community/Behavioral Health Agency
- Fairfield, IA
- NPI 1174520084
-
- Community/Behavioral Health Agency
- Muscatine, IA
- NPI 1184898470
-
dba Nurse in the House, Inc., Central Iowa
- Home Health Agency
- Des Moines, IA
- NPI 1598196040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1730615881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5465 MILLS CIVIC PKWY STE 3319",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502665318",
"telephone_number": "515-322-7986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5550 WILD ROSE LN STE 400",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502665351",
"telephone_number": "515-322-7986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY EDWARDS",
"first_name": "DENISE",
"middle_name": "LAUREN",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "086198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DENISE",
"last_name": "EDWARDS",
"middle_name": "L.",
"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 Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.