Healthcare Provider Details

I. General information

NPI: 1174160469
Provider Name (Legal Business Name): ELIZABETH ROQUES-MANSFIELD LMSW, CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2019
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 E UNIVERSITY AVE
DES MOINES IA
50316-2302
US

IV. Provider business mailing address

700 E UNIVERSITY AVE
DES MOINES IA
50316-2302
US

V. Phone/Fax

Practice location:
  • Phone: 515-263-2402
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number22159
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number113226
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: