Individual provider Active NPI

Ashley Kirvin

  • Clinical Social Worker
  • West Des Moines, IA
National Provider Identifier
1740968304
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
118841 Issued in IA
Practice address
1200 Valley West Dr Ste 203
West Des Moines, IA 50266-1902
Phone
(515) 619-6927
NPI assigned
Jul 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 118841 IA Primary

Addresses

Primary practice location

1200 Valley West Dr Ste 203
West Des Moines, IA 50266-1902

Mailing address

1200 Valley West Dr Ste 203
West Des Moines, IA 50266-1902

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
118841IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Iowa PLLC Clinical CurrentSince Dec 10, 2023 Accepting new patients

Locations

1200 Valley West Dr
Ste 203
West Des Moines, IA 50266
Phone (515) 225-3770

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": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1740968304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 VALLEY WEST DR STE 203",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 VALLEY WEST DR STE 203",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661902",
            "telephone_number": "515-619-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRVIN",
        "first_name": "ASHLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "118841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 5, 2023; 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.