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SHAWN MARIE WELLENDORF LISW
NPI 1922189208
Social Worker - Clinical in Des Moines, IA

Active since October 17, 2006PECOS Enrolled
925 PORTER AVE, DES MOINES, IA 50315(515) 287-9633 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shawn Marie Wellendorf Lisw NPPES

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

SHAWN MARIE WELLENDORF LISW (NPI 1922189208) is an individual clinical provider in Des Moines, Iowa, licensed in Iowa (01492) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1922189208
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHAWN MARIE WELLENDORFCredential: LISW
Location Address925 PORTER AVEDes Moines, IA 50315-7235
Mailing Address925 Porter AveDes Moines, IA 50315-7235 · (515) 287-9633
Phone(515) 287-9633
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1922189208 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 · 01492
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.
925 PORTER AVE, Des Moines, IA 50315
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shawn Marie Wellendorf Lisw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537433156
PECOS Enrollment IDI20170920004045
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 Reassignment

Medicare enrollment records show Shawn Wellendorf reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mosaic Family Counseling Center, Inc.
8.1 mi
Mental Health
6200 AURORA AVE STE 305E
Urbandale, IA 50322
  • Reassigned Medicare billing, Iowa enrollment
  • 11 clinicians in this Medicare group
NPI 1417103649 (515) 724-8920

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50315 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 20

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

PATTY HAYES LISW
Social Worker (Clinical)
925 PORTER AVE
DES MOINES, IA 50315
Polk County (515) 287-9690
THOMAS BERN
Counselor (Mental Health)
925 PORTER AVE
DES MOINES, IA 50315
Polk County (515) 285-6781
KAYLA BELL
Counselor (Mental Health)
925 PORTER AVE
DES MOINES, IA 50315
Polk County (515) 285-6781
GABRIELLE SONNTAG
Counselor (Mental Health)
925 PORTER AVE
DES MOINES, IA 50315
Polk County (515) 287-9600
ZACHARY LAUER
Social Worker (Clinical)
925 PORTER AVE
DES MOINES, IA 50315
Polk County (515) 287-9600
HOLLY VAN KOOTEN
Social Worker (Clinical)
925 PORTER AVE
DES MOINES, IA 50315
Polk County (515) 285-6781
SHEA EDDY
Counselor (Mental Health)
925 PORTER AVE
DES MOINES, IA 50315
Polk County (515) 285-6781
KERBY HANSON
Social Worker (Clinical)
925 PORTER AVE
DES MOINES, IA 50315
Polk County (515) 285-6781

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 Shawn Wellendorf's NPI number?

The NPI number for Shawn Wellendorf is 1922189208. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Shawn Wellendorf located?

Shawn Wellendorf practices at 925 Porter Ave, Des Moines, IA 50315. The listed phone number is (515) 287-9633.

What is Shawn Wellendorf's specialty?

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

Is Shawn Wellendorf enrolled in Medicare?

Yes. Shawn Wellendorf is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shawn Wellendorf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Wellendorf reassigns Medicare benefits to Mosaic Family Counseling Center, Inc. (Urbandale, IA). The 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 Shawn Wellendorf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shawn Wellendorf was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.