Individual provider Active NPI

Lisa Sue Smith, LMSW

  • Social Worker
  • Des Moines, IA
National Provider Identifier
1962133728
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
113014 Issued in IA
Practice address
309 Court Ave Ste 241
Des Moines, IA 50309-2282
Phone
(515) 901-2974
NPI assigned
Jun 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 113014 IA Primary

Addresses

Primary practice location

309 Court Ave Ste 241
Des Moines, IA 50309-2282

Mailing address

309 Court Ave Ste 241
Des Moines, IA 50309-2282
Phone (515) 901-2974

Other names 1

  • Lisa Rajput Other name

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
I20251224002158 IA Practitioner - Clinical Social Worker 6901391184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

309 Court Ave
Des Moines, IA 50309-2245

309 Court Ave
Des Moines, IA 50309-4031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113014IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sampson Family Therapy Services LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

309 Court Ave
Ste 241
Des Moines, IA 50309
Phone (515) 875-4816

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.

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1962133728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 COURT AVE STE 241",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503092282",
            "telephone_number": "515-901-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 COURT AVE STE 241",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503092282",
            "telephone_number": "515-901-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LISA",
        "middle_name": "SUE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "113014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "RAJPUT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.