Kasey Sypolt, LISW, CADC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

090748 Issued in IA

Practice address

1003 Grand Ave
West Des Moines, IA 50265-3502

Phone

(515) 267-1003

Fax

(515) 267-0100

NPI assigned

May 16, 2014

Last updated

Nov 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2022 through Jul 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kavalier & Associates PC

  • Marriage & Family Therapist
  • West Des Moines, IA
  • NPI 1497717946
  NPD (past)
• Orchard Place

  dba PACE Juvenile Center

  • Adolescent and Children Mental Health Clinic/Center
  • Des Moines, IA
  • NPI 1174513717
  NPD (past)

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1942611512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 GRAND AVE",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653502",
            "telephone_number": "515-267-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 GRAND AVE",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653502",
            "telephone_number": "515-267-1003",
            "fax_number": "515-267-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 University Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503142329",
            "country_code": "US",
            "telephone_number": "515-288-1981",
            "fax_number": "515-288-9109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYPOLT",
        "first_name": "KASEY",
        "credential": "LISW, CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-16",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "17106",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "14016",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "090748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Kendall Swenson, STUDENT PHYSICIAN
• Madeline Anne Swenson, DDS
• Meredith Swenson, D.O.
• Katie Mae Swift, ARNP
• James Edward Sykes, D.O.
• Andrzej Szczepanek, M.D.
• Kirk Victor Szczepkowski, PSYD
• Tallgrass Counseling, LLC
• Sarah Christine Tallman, D.O. (AS OF 5-09)
• Joan Tamara, LMHC

• Social Worker in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.