Healthcare Provider Details

I. General information

NPI: 1417733817
Provider Name (Legal Business Name): SYNERGY PRESENCE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2023
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 W NORTH AVE
NORWALK IA
50211-9145
US

IV. Provider business mailing address

PO BOX 154
NORWALK IA
50211-0154
US

V. Phone/Fax

Practice location:
  • Phone: 515-971-1015
  • Fax:
Mailing address:
  • Phone: 515-720-5939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: MEGAN M CLEWELL
Title or Position: SOLE OWNER
Credential: LISW
Phone: 515-971-1015