| The Center For Self Llc | |
|
4403 1st Ave Se Ste 310 Cedar Rapids IA 52402-3221 | |
| (319) 435-1677 | |
| (319) 409-8275 |
| Full Name | The Center For Self Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4403 1st Ave Se Ste 310, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Sarah Elizabeth Blader (PRESIDENT, THERAPIST) |
| Authorized Official Contact | 3194351677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Self Llc 2135 Lincolnshire Dr Se Cedar Rapids IA 52403-1656 Ph: (319) 435-1677 | The Center For Self Llc 4403 1st Ave Se Ste 310 Cedar Rapids IA 52402-3221 Ph: (319) 435-1677 |
| NPI Number | 1477237931 |
|---|---|
| Provider Enumeration Date | 06/14/2023 |
| Last Update Date | 07/21/2023 |
| Certification Date | 07/21/2023 |
| Medicare PECOS PAC ID | 9032572763 |
|---|---|
| Medicare Enrollment ID | O20230829002508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477237931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sarah E Blader |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932616802 PECOS PAC ID: 2860822152 Enrollment ID: I20200429001711 |
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