Robert Michael McDonell, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

120966 Issued in IA

Practice address

2825 S Ankeny Blvd Ste 101
Ankeny, IA 50023-9417

Phone

(515) 454-5876

NPI assigned

Feb 16, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1871291138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4929 PLEASANT ST APT 301",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666101",
            "telephone_number": "612-227-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 S ANKENY BLVD STE 101",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500239417",
            "telephone_number": "515-454-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONELL",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-16",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "T23015",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "120966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McCullough Family Dentistry, P.C.
• Gregory Scott McCullough, D.D.S.
• Amy Elizabeth McDermott
• Nicole Lynne McDevitt, PT
• Taylor Michelle McDonald
• Gail L McGaughy, PT
• Jaden McGhee, M.A., T-LMHC
• Kimberly J. McGhiey, MS, CCC-SLP
• Megan McGovern, M.A., CCC-SLP
• Michael Ladd McGregor, D.D.S.

• Clinical Social Worker in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.