| Ccst, Llc | |
|
2521 Elwood Dr Suite 121 Ames IA 50010-8229 | |
| (515) 291-1499 | |
| (515) 292-2184 |
| Full Name | Ccst, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2521 Elwood Dr, Ames, Iowa |
| Authorized Official Name and Position | Cathy Sue Nelson (OWNER OF BUSINESS) |
| Authorized Official Contact | 5152911499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccst, Llc 2521 Elwood Dr Suite 121 Ames IA 50010-8229 Ph: (515) 291-1499 | Ccst, Llc 2521 Elwood Dr Suite 121 Ames IA 50010-8229 Ph: (515) 291-1499 |
| NPI Number | 1043246440 |
|---|---|
| Provider Enumeration Date | 06/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043246440 | NPI | - | NPPES |
| 145 9909 | Medicaid | IA | |
| 045 9909 | Other | IA | IA MCAID ENT W DSM IA |
| 36996 | Other | IA | B CROSS B SHIELD WELLMARK |
| 244574 | Other | IA | MIDLANDS CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 06044 (Iowa) | Primary |
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