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

MARY DOHERTY
NPI 1134799919
Social Worker - Clinical in Urbandale, IA

Active since June 25, 2021PECOS Enrolled
10574 JUSTIN DR, URBANDALE, IA 50322(515) 499-4959(515) 854-8250 Get Directions Write a Review

NPPES record last updated: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 5, 2026, Jun 25, 2021 (2 updates tracked since 2021).

About Mary Doherty NPPES

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

MARY DOHERTY (NPI 1134799919) is an individual clinical provider in Urbandale, Iowa, licensed in Iowa (107516) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1134799919
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY DOHERTY
Location Address10574 JUSTIN DRUrbandale, IA 50322-3730
Mailing Address10574 Justin DrUrbandale, IA 50322-3730 · (515) 499-4959 · Fax (515) 854-8250
Fax(515) 854-8250
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 25, 2021
Last NPPES UpdateNovember 5, 20262 updates tracked since enumeration
NPPES CertifiedNovember 5, 2026
✔ NPI 1134799919 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 · 107516
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.
10574 JUSTIN DR, Urbandale, IA 50322

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Doherty is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527554310
PECOS Enrollment IDI20251231001998
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50322 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 9

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

Psychologist (Clinical)
10574 JUSTIN DR
URBANDALE, IA 50322
Social Worker (Clinical)
10574 JUSTIN DR
URBANDALE, IA 50322
Registered Nurse
10574 JUSTIN DR
URBANDALE, IA 50322
Nurse Practitioner (Psychiatric/Mental Health)
10574 JUSTIN DR
URBANDALE, IA 50322
Social Worker (Clinical)
10574 JUSTIN DR
URBANDALE, IA 50322
Physician Assistant
10574 JUSTIN DR
URBANDALE, IA 50322
Social Worker
10574 JUSTIN DR
URBANDALE, IA 50322
Counselor (Mental Health)
10574 JUSTIN DR
URBANDALE, IA 50322

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Doherty's NPI number?

The NPI number for Mary Doherty is 1134799919. It was assigned to this individual provider in the NPPES registry on June 25, 2021.

Where is Mary Doherty located?

Mary Doherty practices at 10574 Justin Dr, Urbandale, IA 50322. The listed phone number is (515) 499-4959.

What is Mary Doherty's specialty?

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

Is Mary Doherty enrolled in Medicare?

Yes. Mary Doherty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Doherty accept?

Health plans from Medica, Oscar Health, Oscar Insurance Company, UnitedHealthcare and Wellmark Health Plan of Iowa, Inc. list Mary Doherty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Doherty was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.