Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Doherty

Individual provider Social Worker · NPI 1134799919

Mary Doherty is a Clinical Social Worker in Des Moines, Iowa. Qualified in 2021, 5 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
5
Licensed in
IA
In the registry since
2021
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Practice location Address checks out

505 5th Ave
Des Moines, IA 50309-2324
Phone: (515) 471-2319
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 107516 (IA)

Record details

NPI number1134799919
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 25, 2021
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021
Mailing address7702 Sw 10th Pl, Des Moines, IA 50315-6703

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Des Moines