Healthcare Provider Details

I. General information

NPI: 1053226449
Provider Name (Legal Business Name): JENIFER C ELIGH LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 AURORA AVE STE 305E
URBANDALE IA
50322-2863
US

IV. Provider business mailing address

6200 AURORA AVE STE 305E
URBANDALE IA
50322-2863
US

V. Phone/Fax

Practice location:
  • Phone: 515-724-8920
  • Fax: 712-545-2900
Mailing address:
  • Phone: 515-724-8920
  • Fax: 712-545-2900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number136260
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: