Ms Connie Lynn Popenhagen, MSW, LISW, ACADC | |
905 Montgomery St, Decorah, IA 52101-2325 | |
(563) 382-3649 | |
(563) 382-8183 |
Full Name | Ms Connie Lynn Popenhagen |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 905 Montgomery St, Decorah, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669662854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 006928 (Iowa) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 09026 (Iowa) | Secondary |
Entity Name | Black Hawk-grundy Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316944598 PECOS PAC ID: 1850280363 Enrollment ID: O20040312000767 |
Entity Name | Pathways Behavioral Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114950979 PECOS PAC ID: 3779582796 Enrollment ID: O20061220000159 |
Mailing Address | Practice Location Address |
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Ms Connie Lynn Popenhagen, MSW, LISW, ACADC 905 Montgomery St, P.o. Box 349, Decorah, IA 52101-2325 Ph: (563) 382-3649 | Ms Connie Lynn Popenhagen, MSW, LISW, ACADC 905 Montgomery St, Decorah, IA 52101-2325 Ph: (563) 382-3649 |
Hannah Schroeher, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 901 Montgomery St, Decorah, IA 52101 Phone: 563-382-2911 Fax: 563-382-4143 | |
Megan Andera, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 905 Montgomery St, Decorah, IA 52101 Phone: 563-382-3649 Fax: 563-382-8183 | |
Ms. Karla Mae Presler, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 314 W Main St, Decorah, IA 52101 Phone: 563-382-2662 Fax: 563-382-5269 | |
Erin Anderson, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 905 Montgomery St, Decorah, IA 52101 Phone: 563-382-3649 Fax: 563-382-8183 | |
Stephanie Grusy Garcia-prats, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 905 Montgomery St, Decorah, IA 52101 Phone: 563-382-3649 Fax: 563-382-8183 | |
Bailey Sadler, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1111 Paine St Ste D, Decorah, IA 52101 Phone: 563-382-1900 Fax: 563-382-1777 | |
Marilyn K Southard, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 314 W Main St, Decorah, IA 52101 Phone: 563-382-2662 Fax: 563-382-5269 |