Active NPI
Madeline Beth Deboer, LISW
- Social Worker
- West Des Moines, IA
National Provider Identifier
1972074680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 6750 Westown Pkwy Ste 200-154
West Des Moines, IA 50266-7723 - Phone
- (319) 640-7909
- NPI assigned
- Dec 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
6750 Westown Pkwy Ste 200-154
West Des Moines, IA 50266-7723
Mailing address
2418 Raywood VW Apt 137
Colorado Springs, CO 80920-7736
Phone (319) 640-7909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2023 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1972074680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2418 RAYWOOD VW APT 137",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207736",
"telephone_number": "319-640-7909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6750 WESTOWN PKWY STE 200-154",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502667723",
"telephone_number": "319-640-7909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBOER",
"first_name": "MADELINE",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-07",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"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 Aug 15, 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.