Katrina Lynn Fults, LISW | |
5400 Kirkwood Blvd Sw, Cedar Rapids, IA 52404-5216 | |
(319) 364-0259 | |
Not Available |
Full Name | Katrina Lynn Fults |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 5400 Kirkwood Blvd Sw, Cedar Rapids, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447588660 | NPI | - | NPPES |
007282 | Other | IA | LISW LICENSE |
007282 | Other | IA | LMSW LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 007282 (Iowa) | Primary |
Entity Name | Meadowlark Partners Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023141330 PECOS PAC ID: 8921331836 Enrollment ID: O20190607002380 |
Mailing Address | Practice Location Address |
---|---|
Katrina Lynn Fults, LISW 716 19th Ave, Coralville, IA 52241-1616 Ph: (319) 331-5711 | Katrina Lynn Fults, LISW 5400 Kirkwood Blvd Sw, Cedar Rapids, IA 52404-5216 Ph: (319) 364-0259 |
Barbara Jean Patschke, ISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 855 A Ave Ne, Cedar Rapids, IA 52402 Phone: 319-369-7091 Fax: 319-369-7071 | |
Denise Zmolek, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 520 11th St Nw, Cedar Rapids, IA 52405 Phone: 319-398-3562 Fax: 319-398-3501 | |
Mrs. Jessica Blake, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3100 E Ave Nw, Suite 101, Cedar Rapids, IA 52405 Phone: 319-396-1066 | |
Karen Samani, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 701 10th St Se, Cedar Rapids, IA 52403 Phone: 319-398-6575 | |
Lauren Goodlove, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1030 5th Ave Se Ste 3000, Cedar Rapids, IA 52403 Phone: 319-286-4545 Fax: 319-368-3358 | |
Brianna White, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1030 5th Ave Se Ste 3000, Cedar Rapids, IA 52403 Phone: 319-286-4545 | |
Olivia Gould, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1630 42nd St Ne Ste F, Cedar Rapids, IA 52402 Phone: 319-535-0615 |