Active NPI
Susan M Martin, LISW
- Clinical Social Worker
- Des Moines, IA
National Provider Identifier
1821007154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 03816
- Practice address
- 602 E Grand Ave
Des Moines, IA 50309-1924 - Phone
- (515) 283-1230
- Fax
- (515) 283-2256
- NPI assigned
- Aug 5, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 03816 | IA | Primary |
Addresses
Primary practice location
602 E Grand Ave
Des Moines, IA 50309-1924
Mailing address
301 W Burlington Ave
Fairfield, IA 52556-3242
Phone (641) 472-1684
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 465309 | Other | IA | VALUE OPTIONS RAILROAD |
| 231967 | Other | IA | MIDLANDS |
| 33170 | Other | IA | WELLMARK |
| 0224949 | Medicaid | IA |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nurse in the House, Inc. | Past | Accepting new patients | |
| Rescare, Inc | Past | Accepting new patients | |
| Optimae Lifeservices, Inc, | Clinical | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Nurse in the House, Inc., Central Iowa
- Home Health Agency
- Des Moines, IA
- NPI 1598196040
-
- Community/Behavioral Health Agency
- Des Moines, IA
- NPI 1487828778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1821007154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 W BURLINGTON AVE",
"city": "FAIRFIELD",
"state": "IA",
"postal_code": "525563242",
"telephone_number": "641-472-1684",
"fax_number": "641-472-4609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 E GRAND AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091924",
"telephone_number": "515-283-1230",
"fax_number": "515-283-2256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "SUSAN",
"middle_name": "M",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "03816",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS RAILROAD",
"identifier": "465309",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS",
"identifier": "231967",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "33170",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0224949",
"state": "IA"
}
],
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.