Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MISS LISA LOUISE DITTMER LISW
NPI 1053389155
Social Worker - Clinical in West Des Moines, IA

Q: What is Lisa Dittmer's NPI number?

The NPI number for Lisa Dittmer is 1053389155. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Q: What is Lisa Dittmer's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: Is Lisa Dittmer enrolled in Medicare?

No. Lisa Dittmer has opted out of Medicare through February 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Lisa Dittmer was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 14, 2006Opted out of Medicare · through Feb 14, 2027

1003 GRAND AVENUE, WEST DES MOINES, IA 50265(515) 267-1003(515) 267-0100 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Miss Lisa Louise Dittmer Lisw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS LISA LOUISE DITTMER LISW (NPI 1053389155) is an individual clinical provider in West Des Moines, Iowa, licensed in Iowa (02271) and active in the NPI registry since March 2006. She has opted out of Medicare through February 14, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1053389155

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMISS LISA LOUISE DITTMERCredential: LISW

Location Address1003 GRAND AVENUEWest Des Moines, IA 50265-3502

Mailing Address1003 Grand AvenueWest Des Moines, IA 50265-3502 · (515) 267-1003 · Fax (515) 267-0100

Phone(515) 267-1003

Fax(515) 267-0100

Sole ProprietorNo

Enumeration DateMarch 14, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1053389155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IA · 02271

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1003 GRAND AVENUE, West Des Moines, IA 50265

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Other Identifiers 3

OtherIA0127IA · John Deere Hc

Other49480IA · Blue Shield

Medicaid1045898IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Miss Lisa Louise Dittmer Lisw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 14, 2011 through February 14, 2027.

Opt-Out Effective DateFebruary 14, 2011

Opt-Out In Effect ThroughFebruary 14, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50265 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $52.96 – $161.40

Typical copayment $0.00 (range $13.24 – $40.35)

Most-billed visit code NA

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RANDALL ALLEN KAVALIER DO

Psychiatry & Neurology (Psychiatry)