MR. DOUGLAS JOHN DETRICK CADC
NPI 1790061430
Social Worker in Des Moines, IA

Active since October 26, 2011PECOS EnrolledAccepts Medicare Assignment
1801 HICKMAN RD, DES MOINES, IA 50314(515) 282-6624 Get Directions Write a Review

NPPES record last updated: October 26, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Douglas John Detrick Cadc NPPES

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

MR. DOUGLAS JOHN DETRICK CADC (NPI 1790061430) is an individual social worker in Des Moines, Iowa, licensed in Iowa (11011) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1790061430
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. DOUGLAS JOHN DETRICKCredential: CADC
Location Address1801 HICKMAN RDDes Moines, IA 50314-1505
Mailing Address1235 11th St, #113West Des Moines, IA 50265-2118 · (515) 988-1800
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 26, 2011
✔ NPI 1790061430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in IA · 11011
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1801 HICKMAN RD, Des Moines, IA 50314

Other Identifiers 1

Other426005830IA · Tax Id Number

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Douglas John Detrick Cadc 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 ID1153631650
PECOS Enrollment IDI20151113000079
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Douglas Detrick reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
500 LOCUST ST
Des Moines, IA 50309
  • Reassigned Medicare billing, Iowa enrollment
  • 18 clinicians in this Medicare group
Mental Health
8553 URBANDALE AVE, DES MOINES PASTORAL COUNSELING CENTER
Urbandale, IA 50322
  • Reassigned Medicare billing, Iowa enrollment
  • 28 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
210 RUSSELL ST
Creston, IA 50801
  • Reassigned Medicare billing, Iowa enrollment
  • 7 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
208 services33 patients
Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
76 services14 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
45 services11 patients

Other Providers at the Same Location NPPES 20

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

Family Medicine
1801 HICKMAN RD
DES MOINES, IA 50314
Psychiatry & Neurology (Psychiatry)
1801 HICKMAN RD
DES MOINES, IA 50314
Student in an Organized Health Care Education/Training Program
1801 HICKMAN RD
DES MOINES, IA 50314
Student in an Organized Health Care Education/Training Program
1801 HICKMAN RD
DES MOINES, IA 50314
Psychiatry & Neurology (Psychiatry)
1801 HICKMAN RD, BROADLAWNS MEDICAL CENTER
DES MOINES, IA 50314
Pharmacist
1801 HICKMAN RD
DES MOINES, IA 50314
Occupational Therapist
1801 HICKMAN RD
DES MOINES, IA 50314
Physician Assistant
1801 HICKMAN RD
DES MOINES, IA 50314

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 Douglas Detrick's NPI number?

The NPI number for Douglas Detrick is 1790061430. It was assigned to this individual provider in the NPPES registry on October 26, 2011.

Where is Douglas Detrick located?

Douglas Detrick practices at 1801 Hickman Rd, Des Moines, IA 50314. The listed phone number is (515) 282-6624.

What is Douglas Detrick's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Douglas Detrick enrolled in Medicare?

Yes. Douglas Detrick 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.

Which organizations bill Medicare for Douglas Detrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Detrick reassigns Medicare benefits to 3 organizations: Flowstate Health LLC (Des Moines, IA), Mind And Spirit Counseling Center (Urbandale, IA) and Crossroads Behavioral Health Services (Creston, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Detrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Detrick accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and HealthPartners and 5 other insurers list Douglas Detrick 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 Douglas Detrick was last updated on October 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.