LAURA ELIZABETH PROBASCO (LISW) – Clinical Social Worker, NPI 1639650344

LAURA ELIZABETH PROBASCO (LISW) is a healthcare provider. based in Johnston, Iowa. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW. They hold a License No. 091148 (IA). The NPI Number for LAURA ELIZABETH PROBASCO (LISW) is 1639650344

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
LAURA ELIZABETH PROBASCO (LISW)
NPI
1639650344
Phone
Not provided
Address
5406 MERLE HAY RD
Enumeration Date
22 August 2018
Last Update Date
29 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6415286065
Graduation Year
2018 (8 years ago)
PAC ID
3072989375
Group Practice PAC ID
0648169573
Professional Enrollment ID
I20221011001852
Address ID
IA501121833GR200XXWXXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

827 CLINICAL SOCIAL WORKER in IA

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Provider Addresses for LAURA ELIZABETH PROBASCO (LISW)

  • ChildServe, 5406, Merle Hay Road, Crown Center, Johnston, Polk County, Iowa, 50131, United States

    JOHNSTON, IA 501311209

    Phone:

    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: 2022-10-11

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
I20221011001852IClinical 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
90837Psychotherapy, 1 hour2711$0
View full utilization report →

Insurance plans in this area (ZIP 50131)

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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: 0648169573View full group profile
NameSpecialtyState
Mental Health CounselorIA
-IA
Physician AssistantIA
-IA
Nurse PractitionerIA
Physician AssistantIA
Physician AssistantIA
P S Y C H I A T R YIA
-IA
Mental Health CounselorIA

Reviews

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Frequently asked questions

What is the 10-digit NPI for LAURA ELIZABETH PROBASCO (LISW)?
LAURA ELIZABETH PROBASCO (LISW) — NPI 1639650344 — is the standard way to identify this listing.
Is LAURA ELIZABETH PROBASCO (LISW) still practicing?
LAURA ELIZABETH PROBASCO (LISW) is currently listed as active in the public NPI registry.
What healthcare role does LAURA ELIZABETH PROBASCO (LISW) hold?
Scheduling teams often label LAURA ELIZABETH PROBASCO (LISW) under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Does LAURA ELIZABETH PROBASCO (LISW) list a practice location?
Patients near Johnston, Iowa may find LAURA ELIZABETH PROBASCO (LISW) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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