Active NPI
Danielle Annette Stange, LISW
- Clinical Social Worker
- West Des Moines, IA
National Provider Identifier
1891303483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 100967
- Practice address
- 1454 30TH St Ste 108
West Des Moines, IA 50266-1311 - Phone
- (319) 800-5564
- NPI assigned
- Jul 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 2020018026 | MO | |
| Clinical Social Worker | 1041C0700X | 100967 | IA | Primary |
Addresses
Primary practice location
1454 30TH St Ste 108
West Des Moines, IA 50266-1311
Mailing address
2240 9TH St
Coralville, IA 52241-1575
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2240 9TH St
Coralville, IA 52241-1575
2240 9TH St
Suite 4
Coralville, IA 52241-1507
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020018026 | MO | MD | Social Worker |
| 100967 | IA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Counseling Services PLLC | Current | 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 and National Provider Directory roles.
-
- Mental Health Counselor
- Coralville, IA
- NPI 1528564762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1891303483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 9TH ST",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522411575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1454 30TH ST STE 108",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502661311",
"telephone_number": "319-800-5564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANGE",
"first_name": "DANIELLE",
"middle_name": "ANNETTE",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-20",
"last_updated": "2024-07-31",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2020018026",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "100967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West 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 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.