Anneke Britt Gustafson, LISW | |
1200 University Ave Ste 120, Des Moines, IA 50314-2355 | |
(515) 248-1500 | |
(515) 248-1510 |
Full Name | Anneke Britt Gustafson |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1200 University Ave Ste 120, Des Moines, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750532578 | NPI | - | NPPES |
107314000 | Other | IA | IOWA PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 007134 (Iowa) | Primary |
104100000X | Social Worker | 007134 (Iowa) | Secondary |
Entity Name | Primary Health Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588692487 PECOS PAC ID: 8426966755 Enrollment ID: O20031106000487 |
Mailing Address | Practice Location Address |
---|---|
Anneke Britt Gustafson, LISW 1200 University Ave Ste 200, Des Moines, IA 50314-2355 Ph: (515) 248-1447 | Anneke Britt Gustafson, LISW 1200 University Ave Ste 120, Des Moines, IA 50314-2355 Ph: (515) 248-1500 |
Martha Diaz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 808 5th Ave, Des Moines, IA 50309 Phone: 515-244-2267 | |
Gladys Noll Alvarez, L.I.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 808 5th Ave, Des Moines, IA 50309 Phone: 515-244-2267 | |
Angie Appelgate, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 808 5th Ave, Des Moines, IA 50309 Phone: 515-244-2267 | |
Janelle Kamba, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3200 Ingersoll Ave Ste E, Des Moines, IA 50312 Phone: 515-729-2019 | |
Rachel Nicole Ukena, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3600 30th St, Des Moines, IA 50310 Phone: 515-699-5999 | |
Jillian Lake, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 808 5th Ave, Des Moines, IA 50309 Phone: 515-244-2267 | |
Jennifer Lynn Roberts, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2708 Grand Ave, Des Moines, IA 50312 Phone: 515-778-4592 |