MRS. KATHLEEN WARREN (LISW, CADC) – Clinical Social Worker, NPI 1417199878
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
828 CLINICAL SOCIAL WORKER in IA
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Provider Addresses for MRS. KATHLEEN WARREN (LISW, CADC)
Primary Health Care Dental, 2353, Southeast 14th Street, Pioneer Park, Des Moines, Polk County, Iowa, 50320, United States
DES MOINES, IA 503201109
Phone: (515) 248-1484
Fax: (515) 248-1410
Type: Mailing
200, University Avenue, Des Moines, Polk County, Iowa, 50314, United States
DES MOINES, IA 503142355
Phone: (515) 248-1447
Fax: (515) 248-1440
Type: Location
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: 2024-03-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240304002157 | I | Clinical Social Worker | IA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 50320)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| Clinical Social Worker | PA | |
| - | IA | |
| - | IA | |
| Family Practice | IA | |
| Clinical Social Worker | IA | |
| Nurse Practitioner | MN | |
| Emergency Medicine, Family Practice | IA | |
| Physician Assistant | IA | |
| Family Practice, Addiction Medicine | IA |
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