| Lutheran Services In Iowa, Inc. | |
|
3125 Cottage Grove Ave Des Moines IA 50311-3809 | |
| (515) 277-4476 | |
| (515) 271-7450 |
| Full Name | Lutheran Services In Iowa, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 3125 Cottage Grove Ave, Des Moines, Iowa |
| Authorized Official Name and Position | Becky Reed (ACCOUNTS RECEIVABLE MANAGER) |
| Authorized Official Contact | 5152717374 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lutheran Services In Iowa, Inc. 3125 Cottage Grove Ave Des Moines IA 50311-3809 Ph: (515) 277-4476 | Lutheran Services In Iowa, Inc. 3125 Cottage Grove Ave Des Moines IA 50311-3809 Ph: (515) 277-4476 |
| NPI Number | 1831278142 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 07/13/2017 |
| Medicare PECOS PAC ID | 9133030455 |
|---|---|
| Medicare Enrollment ID | O20040319001595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831278142 | NPI | - | NPPES |
| 1103663 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Andrea M Lawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912111444 PECOS PAC ID: 3173881570 Enrollment ID: I20171212002050 |
| Provider Name | Laurie A Walters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639302284 PECOS PAC ID: 5698033009 Enrollment ID: I20171212002714 |
| Provider Name | Jennifer A Hentges |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407386246 PECOS PAC ID: 3678901014 Enrollment ID: I20200317001993 |
| Provider Name | Megan M Hoxhalli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710638762 PECOS PAC ID: 6305232372 Enrollment ID: I20220331001784 |
| Provider Name | Sarah J Van Gorp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326773995 PECOS PAC ID: 8224411939 Enrollment ID: I20220812002246 |
| Provider Name | Shelly J Blanchard |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851777239 PECOS PAC ID: 3476998816 Enrollment ID: I20240226001905 |
| Provider Name | Casey E Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366862864 PECOS PAC ID: 6103261540 Enrollment ID: I20240226001927 |
| Provider Name | James R Guentherman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881032829 PECOS PAC ID: 4789029133 Enrollment ID: I20240226002162 |
| Provider Name | Joann M Weitz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295061190 PECOS PAC ID: 8527403989 Enrollment ID: I20240226002829 |
| Provider Name | Barbara D Myers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053903682 PECOS PAC ID: 6204271679 Enrollment ID: I20240226003125 |
| Provider Name | Chelsea E Zaragoza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124771324 PECOS PAC ID: 9436594736 Enrollment ID: I20240227000272 |
| Provider Name | Jennifer L Dolson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538776539 PECOS PAC ID: 0941645253 Enrollment ID: I20240227000833 |
| Provider Name | Lindsey Darrouzet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013797547 PECOS PAC ID: 0042656233 Enrollment ID: I20240311001349 |
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