RICHARD H DOUGLASS (LISW) – Social Worker, NPI 1457325425

RICHARD H DOUGLASS (LISW) is a healthcare provider. based in West des moines, Iowa. specializing in Social Worker. They hold the professional credentials LISW. They hold a License No. 00077 (IA). The NPI Number for RICHARD H DOUGLASS (LISW) is 1457325425

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD H DOUGLASS (LISW)
NPI
1457325425
Phone
(515) 241-2300
Address
6000 UNIVERSITY AVE
Enumeration Date
15 February 2006
Last Update Date
13 September 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5152744006
Graduation Year
1982 (44 years ago)
PAC ID
5092735811
Group Practice PAC ID
0749272649
Professional Enrollment ID
I20051122000858
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for RICHARD H DOUGLASS (LISW)

  • Dermatology PC, 6000, University Avenue, West Lakes Office Park, West Des Moines, Dallas County, Iowa, 50398, United States

    SUITE 200

    WEST DES MOINES, IA 502668203

    Phone: (515) 241-2300

    Fax: (515) 241-2305

    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: 2005-11-22

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
I20051122000858IClinical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50266)

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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: 0749272649View full group profile
NameSpecialtyState
Clinical PsychologistIA
Clinical PsychologistIA
Clinical Social WorkerMO
Clinical Social WorkerNY
-IA
Clinical PsychologistIA
Marriage And Family TherapistHI
Clinical PsychologistIA
-IA
-IA

Reviews

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Frequently asked questions

Can I cross-check RICHARD H DOUGLASS (LISW) using NPI 1457325425?
NPI 1457325425 belongs to RICHARD H DOUGLASS (LISW); compare other details if you need extra assurance.
Is there an active status for RICHARD H DOUGLASS (LISW)?
For scheduling context, RICHARD H DOUGLASS (LISW) is shown as active in the registry.
What area of care is associated with RICHARD H DOUGLASS (LISW)?
RICHARD H DOUGLASS (LISW)'s record emphasizes Social Worker. Clinical services aligned with this taxonomy classification.
Where in Iowa is RICHARD H DOUGLASS (LISW) registered?
Use West Des Moines, Iowa as the headline location for RICHARD H DOUGLASS (LISW) here.
Does RICHARD H DOUGLASS (LISW) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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