Susan Langewisch Kivisto, | |
1441 W Central Park Ave, Davenport, IA 52804-1707 | |
(563) 383-1900 | |
Not Available |
Full Name | Susan Langewisch Kivisto |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 14 Years |
Location | 1441 W Central Park Ave, Davenport, Iowa |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477052405 | NPI | - | NPPES |
007507 | Other | IA | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 007507 (Iowa) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vera French Community Mental Health | 6103715214 | 28 |
Entity Name | Vera French Community Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245291129 PECOS PAC ID: 6103715214 Enrollment ID: O20040315000814 |
Mailing Address | Practice Location Address |
---|---|
Susan Langewisch Kivisto, 1441 W Central Park Ave, Davenport, IA 52804-1707 Ph: () - | Susan Langewisch Kivisto, 1441 W Central Park Ave, Davenport, IA 52804-1707 Ph: (563) 383-1900 |
Barbara J Johnson, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1441 W. Central Park Ave, Vera French Community Mental Health Center, Davenport, IA 52804 Phone: 563-888-6275 Fax: 563-884-4638 | |
Jennifer A O'hare-marker, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4455 E 56th St, Davenport, IA 52807 Phone: 563-355-2577 Fax: 563-355-4015 | |
Ms. Joni Lynn Dittmer, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 718 Bridge Ave, Davenport, IA 52803 Phone: 563-320-4395 Fax: 563-285-4014 | |
Jenna Capesius, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1441 W Central Park Ave, Davenport, IA 52804 Phone: 563-383-1900 Fax: 563-328-5690 | |
James Randall Bolton, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1441 W Central Park Ave, Davenport, IA 52804 Phone: 563-888-6275 Fax: 563-884-4638 | |
Candice J. Kundert, L.I.S.W.; L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2800 Eastern Ave, Bldg G, Davenport, IA 52803 Phone: 563-370-7995 | |
Dr. Harriet A Phelps, PSY.D, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 718 Bridge Ave, Suite 6, Davenport, IA 52803 Phone: 563-381-8088 Fax: 563-381-8077 |