Individual provider Active NPI

Dijana Dugalic, LISW

  • Clinical Social Worker
  • West Des Moines, IA
National Provider Identifier
1851791230
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072629 Issued in IA
Practice address
1454 30TH St Ste 107
West Des Moines, IA 50266-1311
Phone
(319) 800-5564
Fax
(515) 207-1485
NPI assigned
Sep 4, 2014
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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 072629 IA
Clinical Social Worker 1041C0700X 072629 IA Primary

Addresses

Primary practice location

1454 30TH St Ste 107
West Des Moines, IA 50266-1311

Mailing address

1454 30TH St Ste 107
West Des Moines, IA 50266-1311
Phone (319) 800-5564

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
I20141010001093 IA Practitioner - Clinical Social Worker 1557581733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Counseling Services PLLCGroup PAC ID 9234612052, 17 clinicians

Practice addresses (Care Compare)

2240 9TH St
Suite 4
Coralville, IA 52241-1507
Phone (319) 800-5564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
072629IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Green Counseling Services PLLC CurrentSince Mar 5, 2026 Accepting new patients

Locations

2240 9th St
Ste 4
Coralville, IA 52241

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1851791230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 30TH ST STE 107",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661311",
            "telephone_number": "319-800-5564",
            "fax_number": "515-207-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 30TH ST STE 107",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661311",
            "telephone_number": "319-800-5564",
            "fax_number": "515-207-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGALIC",
        "first_name": "DIJANA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "072629",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "072629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.