Active NPI
Jean Kathleen Dembinski, LMSW
- Social Worker
- Des Moines, IA
National Provider Identifier
1801035597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 096224
- Practice address
- 1301 Center St
Des Moines, IA 50309-1004 - Phone
- (515) 241-0982
- NPI assigned
- Feb 19, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 078089 | NY | |
| Social Worker | 104100000X | 096224 | IA | Primary |
| Clinical Social Worker | 1041C0700X | 078089 | NY |
Addresses
Primary practice location
1301 Center St
Des Moines, IA 50309-1004
Mailing address
945 19TH St
Des Moines, IA 50314-1117
Phone (515) 241-0982
Other practice location 1
571 Saint Josephs Blvd
Suite 102
Elmira, NY 14901-3230
Phone (607) 737-5215
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39062A | Other | NY | GROUP MEDICARE NUMBER |
| 00618162 | Other | NY | GROUP MEDICAID NUMBER |
| 1023054376 | Medicaid | NY |
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 |
|---|---|---|---|
| 096224 | IA | MD | Social Worker |
| 078089 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients |
Interoperability endpoints
- kdembinski1021886@direct.unitypoint.org
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.
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701993600000",
"number": "1801035597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 19TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503141117",
"telephone_number": "515-241-0982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 CENTER ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091004",
"telephone_number": "515-241-0982"
}
],
"practiceLocations": [
{
"address_1": "571 Saint Josephs Blvd",
"address_2": "Suite 102",
"address_purpose": "LOCATION",
"city": "Elmira",
"state": "NY",
"postal_code": "149013230",
"country_code": "US",
"telephone_number": "607-737-5215",
"fax_number": "607-737-5219",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMBINSKI",
"first_name": "JEAN",
"middle_name": "KATHLEEN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-19",
"last_updated": "2023-12-08",
"certification_date": "2023-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NY",
"license": "078089",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "096224",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "078089",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE NUMBER",
"identifier": "39062A",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID NUMBER",
"identifier": "00618162",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023054376",
"state": "NY"
}
],
"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 Dec 8, 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.