| Aging Pathways, Llc | |
|
2704 Sheridan Ave Des Moines IA 50310-5601 | |
| (515) 272-5075 | |
| Not Available |
| Full Name | Aging Pathways, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2704 Sheridan Ave, Des Moines, Iowa |
| Authorized Official Name and Position | Pamela Jeanne Nelson-grotrian (SOCIAL WORKER) |
| Authorized Official Contact | 5152725075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aging Pathways, Llc 2704 Sheridan Ave Des Moines IA 50310-5601 Ph: (515) 272-5075 | Aging Pathways, Llc 2704 Sheridan Ave Des Moines IA 50310-5601 Ph: (515) 272-5075 |
| NPI Number | 1215690490 |
|---|---|
| Provider Enumeration Date | 10/14/2021 |
| Last Update Date | 10/19/2021 |
| Certification Date | 10/19/2021 |
| Medicare PECOS PAC ID | 3870982762 |
|---|---|
| Medicare Enrollment ID | O20211115002729 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215690490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Pamela Jeanne Nelson-grotrian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326180449 PECOS PAC ID: 6901844919 Enrollment ID: I20050420000908 |
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