Ms Mary Louise Blankenburg, LISW | |
20 S Van Buren St, Iowa City, IA 52240-1821 | |
(319) 400-2268 | |
Not Available |
Full Name | Ms Mary Louise Blankenburg |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 28 Years |
Location | 20 S Van Buren St, Iowa City, Iowa |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104840347 | NPI | - | NPPES |
0272708 | Medicaid | IA | |
23547 | Other | IA | WELLMARK/BCBS |
250553000 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 01283 (Iowa) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Counseling And Health Center | 8022087881 | 2 |
Entity Name | Counseling And Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437120573 PECOS PAC ID: 8022087881 Enrollment ID: O20040928001142 |
Mailing Address | Practice Location Address |
---|---|
Ms Mary Louise Blankenburg, LISW Po Box 1073, Iowa City, IA 52244-1073 Ph: (319) 400-2268 | Ms Mary Louise Blankenburg, LISW 20 S Van Buren St, Iowa City, IA 52240-1821 Ph: (319) 400-2268 |
Patricia Mollie Hayek, L.I.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 123 N Linn St, Suite 2a, Iowa City, IA 52245 Phone: 319-337-3357 | |
Lynda Kay Topp, L.I.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3030 Northgate Dr, Suite E, Iowa City, IA 52245 Phone: 319-337-6483 Fax: 319-337-4208 | |
Mrs. Anna-marie Hepker-raymer, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1700 S 1st Ave Ste 14, Iowa City, IA 52240 Phone: 319-338-7518 | |
Susan Henry, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 318 Fairview Ave, Iowa City, IA 52245 Phone: 319-855-8766 | |
James D Estin, LISW MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-4952 Fax: 319-384-8843 | |
Briana Le Bowen, MSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 601 Highway 6 W, Iowa City, IA 52246 Phone: 331-338-0581 Fax: 319-339-7110 | |
Daniel E. Aquilina, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 507 E College St, Iowa City, IA 52240 Phone: 319-338-7884 |