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

Q: 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.

Q: What is Douglas Detrick's specialty?

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

Q: 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.

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: July 26, 2026.

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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

Phone(515) 282-6624

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

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Other Identifiers 1

Other426005830IA · Tax Id Number

Accepted Insurance

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

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.

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

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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.

MATTHEW HELMICK WILLIAMS D.O.

Family Medicine

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-5640

ALEX YEONWOO KIM DO

Psychiatry & Neurology (Psychiatry)

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-2200

CAMERON MATTHIAS GREINER DO

Student in an Organized Health Care Education/Training Program

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-2200

MARK DYKEN MD

Student in an Organized Health Care Education/Training Program

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-2200

KELLI GREEN MD

Psychiatry & Neurology (Psychiatry)

1801 HICKMAN RD, BROADLAWNS MEDICAL CENTER
DES MOINES, IA 50314

Polk County (515) 282-2319

KATRINA COEN

Pharmacist

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-2378

NICOLE RENEE SLIVA OTR/L

Occupational Therapist

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-5621

GARY HUDSON PA-C

Physician Assistant

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-2319

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.

What insurance does Douglas Detrick accept?

Health plans from Medica, Oscar Insurance Company, Sanford Health Plan and UnitedHealthcare 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.