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NPI Code Detail

MEDICARE: MR. RICHARD L JOENS L.I.S.W.

MEDICARE:  MR. RICHARD L JOENS  L.I.S.W.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker01012IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
242628OTHERIABLUE SHIELD
3002440OTHERIAVALUE OPTIONS
4235144OTHERIAMIDLANDS CHOICE
5IA0103OTHERIADEERE
642628OTHERIAFIRST ADMINISTRATORS
79P5081OTHERIAEMPIRE BLUE SHIELD

General Provider Information

NPI Number : 1225027238
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICHARD L JOENS L.I.S.W.
Provider Business Mailing Address
First Line : 3900 INGERSOLL AVE
Second Line : SUITE 108
City : DES MOINES
State : IA
Zip : 50312-3534
Country : US
Telephone Number : 515-279-6200
Fax Number : 515-279-4528
Provider Business Practice Location Address
First Line : 3900 INGERSOLL AVE
Second Line : SUITE 108
City : DES MOINES
State : IA
Zip : 50312-3534
Country : US
Telephone Number : 515-279-6200
Fax Number : 515-279-4528
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2005
Last Update Date : 11/01/2007

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