Individual provider Active NPI

Angela Emerson, LMSW

  • Clinical Social Worker
  • Des Moines, IA
National Provider Identifier
1942684725
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2600 Grand Ave
Suite 130
Des Moines, IA 50312-5375
Phone
(515) 243-3525
NPI assigned
Jul 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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 076892 IA
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2600 Grand Ave
Suite 130
Des Moines, IA 50312-5375

Mailing address

5601 Terrace Dr
Johnston, IA 50131-1571
Phone (515) 979-8502

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
I20180508001377 IA Practitioner - Clinical Social Worker 0749544369 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5601 Terrace Dr
Johnston, IA 50131-1571

6165 NW 86TH St
Johnston, IA 50131-2270
Phone (515) 259-0368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
076892IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Clinical Associates PLLC Social Worker CurrentSince Apr 3, 2018 Accepting new patients

Locations

2500 82nd Pl
Urbandale, IA 50322
Phone (515) 270-1344

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1436659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1942684725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 TERRACE DR",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311571",
            "telephone_number": "515-979-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GRAND AVE",
            "address_2": "SUITE 130",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125375",
            "telephone_number": "515-243-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "ANGELA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-12",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "076892",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.