MR. MELVIN T. BOBO (LISW) – Social Worker, NPI 1063617355

MR. MELVIN T. BOBO (LISW) is a healthcare provider. based in Des moines, Iowa. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW. They hold a License No. 06383 (IA). The NPI Number for MR. MELVIN T. BOBO (LISW) is 1063617355

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
MR. MELVIN T. BOBO (LISW)
NPI
1063617355
Phone
(515) 282-2200
Address
1801 HICKMAN RD
Enumeration Date
18 June 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5154125112
Graduation Year
1985 (41 years ago)
PAC ID
9537253828
Group Practice PAC ID
2062648017
Professional Enrollment ID
I20070918000048
Address ID
IA503224329UR2500XPLXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

827 CLINICAL SOCIAL WORKER in IA

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Provider Addresses for MR. MELVIN T. BOBO (LISW)

  • Broadlawns Medical Center, 1801, Hickman Road, Des Moines, Polk County, Iowa, 50314, United States

    DES MOINES, IA 503141548

    Phone: (515) 282-2200

    Fax: (515) 282-3234

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-09-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070918000048IClinical Social WorkerIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes9516$0
View full utilization report →

Insurance plans in this area (ZIP 50314)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062648017View full group profile
NameSpecialtyState
Mental Health CounselorSD
Clinical Social WorkerIA
Clinical Social WorkerIA
-IA
Mental Health CounselorIA
Undefined Non Physician Type (Specify)IA
Clinical Social WorkerIA
Nurse PractitionerIA
Clinical Social WorkerIA
P S Y C H I A T R YIA

Reviews

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Frequently asked questions

Can I verify MR. MELVIN T. BOBO (LISW) with an NPI only?
You can start verification with NPI 1063617355 for MR. MELVIN T. BOBO (LISW), then check state licensing separately.
Is MR. MELVIN T. BOBO (LISW) still practicing?
MR. MELVIN T. BOBO (LISW) is currently listed as active in the public NPI registry.
What is MR. MELVIN T. BOBO (LISW) best known for clinically?
Directory data describes MR. MELVIN T. BOBO (LISW) with Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for MR. MELVIN T. BOBO (LISW)?
MR. MELVIN T. BOBO (LISW)'s geographic hint is Des Moines, Iowa in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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