Individual provider Active NPI

Mollie S Michelfelder, LISW, CADC

  • Clinical Social Worker
  • Des Moines, IA
National Provider Identifier
1902039787
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06761 Issued in IA
Practice address
1409 Clark St
Des Moines, IA 50314-1916
Phone
(515) 314-4081
NPI assigned
Aug 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 06761 IA Primary

Addresses

Primary practice location

1409 Clark St
Des Moines, IA 50314-1916

Mailing address

595 88TH St Apt 329
West Des Moines, IA 50266-8445
Phone (515) 314-4081

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
I20260401002368 IA Practitioner - Clinical Social Worker 1254816788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
House of MercyGroup PAC ID 1254811433, 5 clinicians

Practice addresses (Care Compare)

1409 Clark St
Des Moines, IA 50314-1916
Phone (515) 643-6598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06761IAMDChiropractor

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": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1902039787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 88TH ST APT 329",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668445",
            "telephone_number": "515-314-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 CLARK ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503141916",
            "telephone_number": "515-314-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELFELDER",
        "first_name": "MOLLIE",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LISW, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.