Active NPI
Joshua Ray Herold, LISW
- Clinical Social Worker
- Des Moines, IA
National Provider Identifier
1760142384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 110416
- Practice address
- 1100 7TH St BLDG 7
Des Moines, IA 50314-2503 - Phone
- (515) 697-7727
- NPI assigned
- Dec 22, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 110416 | IA | Primary |
Addresses
Primary practice location
1100 7TH St BLDG 7
Des Moines, IA 50314-2503
Mailing address
PO Box 80
Polk City, IA 50226-0080
Phone (515) 371-9414
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
| License | State | Type | Specialty |
|---|---|---|---|
| 110416 | IA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1760142384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80",
"city": "POLK CITY",
"state": "IA",
"postal_code": "502260080",
"telephone_number": "515-371-9414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 7TH ST BLDG 7",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503142503",
"telephone_number": "515-697-7727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEROLD",
"first_name": "JOSHUA",
"middle_name": "RAY",
"name_prefix": "Mr.",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-22",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "110416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.