| Summit Therapy Services Llc | |
|
4949 Westown Pkwy Ste 100 West Des Moines IA 50266-6704 | |
| (515) 329-6039 | |
| Not Available |
| Full Name | Summit Therapy Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4949 Westown Pkwy Ste 100, West Des Moines, Iowa |
| Authorized Official Name and Position | Elena E Gerdes (OWNER) |
| Authorized Official Contact | 5088439155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Therapy Services Llc 4949 Westown Pkwy Ste 100 West Des Moines IA 50266-6704 Ph: () - | Summit Therapy Services Llc 4949 Westown Pkwy Ste 100 West Des Moines IA 50266-6704 Ph: (515) 329-6039 |
| NPI Number | 1013756055 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 05/20/2024 |
| Certification Date | 05/20/2024 |
| Medicare PECOS PAC ID | 0042752925 |
|---|---|
| Medicare Enrollment ID | O20240606002589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013756055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elena Elizabeth Gerdes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801549571 PECOS PAC ID: 0547634909 Enrollment ID: I20230327000300 |
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