Healthcare Provider Details

I. General information

NPI: 1780968768
Provider Name (Legal Business Name): LYNETTE ILLENE STEINKAMP MSW, LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LYNETTE ILLENE SCHWANDT MSW, LISW

II. Dates (important events)

Enumeration Date: 10/07/2011
Last Update Date: 10/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 KENYON ROAD TRINITY REGIONAL MEDICAL CENTER
FORT DODGE IA
50501-9966
US

IV. Provider business mailing address

802 KENYON ROAD TRINITY REGIONAL MEDICAL CENTER
FORT DODGE IA
50501-9966
US

V. Phone/Fax

Practice location:
  • Phone: 515-574-6770
  • Fax: 515-574-6912
Mailing address:
  • Phone: 515-574-6770
  • Fax: 515-574-6912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number01206
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: