Healthcare Provider Details

I. General information

NPI: 1215153895
Provider Name (Legal Business Name): CATHOLIC COUNCIL FOR SOCIAL CONCERN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 GRAND AVE
DES MOINES IA
50309-2501
US

IV. Provider business mailing address

601 GRAND AVE
DES MOINES IA
50309-2501
US

V. Phone/Fax

Practice location:
  • Phone: 515-237-5045
  • Fax: 515-237-5045
Mailing address:
  • Phone: 515-237-5045
  • Fax: 888-445-0304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DAYINARA CAMPBELL
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 515-237-5045