Active NPI
Kacie Newman, LMSW
- Social Worker
- Clive, IA
National Provider Identifier
1831510783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1450 NW 114TH St
Clive, IA 50325-7039 - Phone
- (515) 553-6200
- NPI assigned
- Dec 19, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Social Worker | 104100000X | IA | Primary |
Addresses
Primary practice location
1450 NW 114TH St
Clive, IA 50325-7039
Mailing address
1450 NW 114TH St
Clive, IA 50325-7039
Phone (515) 553-6200
Other practice location 1
1409 Clark St
Des Moines, IA 50314-1964
Phone (515) 643-6518
Other names 1
- Kacie Jensen
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1831510783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 NW 114TH ST",
"city": "CLIVE",
"state": "IA",
"postal_code": "503257039",
"telephone_number": "515-553-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 NW 114TH ST",
"city": "CLIVE",
"state": "IA",
"postal_code": "503257039",
"telephone_number": "515-553-6200"
}
],
"practiceLocations": [
{
"address_1": "1409 Clark St",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503141964",
"country_code": "US",
"telephone_number": "515-643-6518",
"fax_number": "515-643-6598",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWMAN",
"first_name": "KACIE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-19",
"last_updated": "2024-10-28",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KACIE",
"last_name": "JENSEN",
"credential": "BS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.