| Synergy Clinical Services Of Central Iowa Llc | |
|
3004 30th St Des Moines IA 50310-5259 | |
| (515) 277-6399 | |
| Not Available |
| Full Name | Synergy Clinical Services Of Central Iowa Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3004 30th St, Des Moines, Iowa |
| Authorized Official Name and Position | Christopher Scott Erickson (MANAGING PARTNER) |
| Authorized Official Contact | 5155703662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Synergy Clinical Services Of Central Iowa Llc 3004 30th St Des Moines IA 50310-5259 Ph: (515) 277-6399 | Synergy Clinical Services Of Central Iowa Llc 3004 30th St Des Moines IA 50310-5259 Ph: (515) 277-6399 |
| NPI Number | 1811358658 |
|---|---|
| Provider Enumeration Date | 03/07/2016 |
| Last Update Date | 10/20/2020 |
| Certification Date | 10/20/2020 |
| Medicare PECOS PAC ID | 4981014560 |
|---|---|
| Medicare Enrollment ID | O20201110003373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811358658 | NPI | - | NPPES |
| NONE | Other | NONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Charles Robson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033472675 PECOS PAC ID: 6709172513 Enrollment ID: I20160902001542 |
| Provider Name | Cynthia A Coenen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467907394 PECOS PAC ID: 0446548465 Enrollment ID: I20161006002097 |
| Provider Name | Christopher S Erickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346682036 PECOS PAC ID: 5890105472 Enrollment ID: I20210310001540 |
| Provider Name | Abby Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821410200 PECOS PAC ID: 9234545237 Enrollment ID: I20210316001931 |
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