| Deena Cavender, Lisw, Inc. | |
|
600 5th St Suite 200 Ames IA 50010-6085 | |
| (515) 232-2051 | |
| (515) 232-2775 |
| Full Name | Deena Cavender, Lisw, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 600 5th St, Ames, Iowa |
| Authorized Official Name and Position | Deena Marie Cavender (OWNER) |
| Authorized Official Contact | 5152322051 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deena Cavender, Lisw, Inc. 600 5th St Suite 200 Ames IA 50010-6085 Ph: (515) 232-2051 | Deena Cavender, Lisw, Inc. 600 5th St Suite 200 Ames IA 50010-6085 Ph: (515) 232-2051 |
| NPI Number | 1376947499 |
|---|---|
| Provider Enumeration Date | 10/17/2014 |
| Last Update Date | 10/17/2014 |
| Medicare PECOS PAC ID | 2163643602 |
|---|---|
| Medicare Enrollment ID | O20141024001846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376947499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 007962 (Iowa) | Primary |
| Provider Name | Deena M Cavender |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154739365 PECOS PAC ID: 2062633506 Enrollment ID: I20141024001893 |
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