Individual provider Active NPI

Elena Elizabeth Gerdes, LISW

  • Clinical Social Worker
  • West Des Moines, IA
National Provider Identifier
1801549571
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
091782 Issued in IA
Practice address
4949 Westown Pkwy Ste 100
West Des Moines, IA 50266-6704
Phone
(000) 000-0000
NPI assigned
Feb 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 091782 IA
Clinical Social Worker 1041C0700X 091782 IA Primary

Addresses

Primary practice location

4949 Westown Pkwy Ste 100
West Des Moines, IA 50266-6704

Mailing address

4949 Westown Pkwy Ste 100
West Des Moines, IA 50266-6704
Phone (515) 329-6039

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230327000300 IA Practitioner - Clinical Social Worker 0547634909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4949 Westown Pkwy
Suite 100
West Des Moines, IA 50266-6704
Phone (515) 329-6039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
091782IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Therapy Services LLC Clinical CurrentSince May 11, 2024 Accepting new patients
New Beginnings Counseling Service, LLC Social Worker CurrentSince Jan 31, 2023 Accepting new patients

Locations

6200 Aurora Ave
Ste 103E
Urbandale, IA 50322
Phone (515) 401-6886

4949 Westown Pkwy
Ste 100
West Des Moines, IA 50266
Phone (515) 225-7001

Organizations & group practices 2

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": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1801549571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 WESTOWN PKWY STE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666704",
            "telephone_number": "515-329-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 WESTOWN PKWY STE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666704",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERDES",
        "first_name": "ELENA",
        "middle_name": "ELIZABETH",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "091782",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "091782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.