Individual provider Active NPI

Christopher Sharpe, LCSW, LISW

  • Clinical Social Worker
  • West Des Moines, IA
National Provider Identifier
1992199723
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111212 Issued in IA
Practice address
4617 Woodland Ave Unit 4
West Des Moines, IA 50266-1763
Phone
(515) 494-2797
NPI assigned
Mar 18, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 124965 AK
Clinical Social Worker 1041C0700X 111212 IA Primary

Addresses

Primary practice location

4617 Woodland Ave Unit 4
West Des Moines, IA 50266-1763

Mailing address

4425 Mills Civic Pkwy Unit 701
West Des Moines, IA 50265-5451
Phone (515) 494-2797

Other practice location 1

4425 Mills Civic Pkwy Unit 701
West Des Moines, IA 50265-5451
Phone (515) 494-2797

Other identifiers 1

IdentifierTypeStateIssuer
1992199723OtherIRS CP575 METACHANGE THERAPY

Other names 1

  • Christopher T Sharpe Professional 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
I20251203004260 IA Practitioner - Clinical Social Worker 0446743835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4425 Mills Civic Pkwy
Unit 701
West Des Moines, IA 50265-5204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
124965AKMDClinical Social Worker
111212IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Metachange Therapy CurrentSince Oct 11, 2025 Accepting new patients

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": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1992199723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 MILLS CIVIC PKWY UNIT 701",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502655451",
            "telephone_number": "515-494-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 WOODLAND AVE UNIT 4",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661763",
            "telephone_number": "515-494-2797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4425 Mills Civic Pkwy Unit 701",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502655451",
            "country_code": "US",
            "telephone_number": "515-494-2797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARPE",
        "first_name": "CHRISTOPHER",
        "credential": "LCSW, LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-18",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "124965",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "111212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS CP575 METACHANGE THERAPY",
            "identifier": "1992199723",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "SHARPE",
            "middle_name": "T",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.