MEDICARE: SOLUTION ENTERPRISES

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
1	1041C0700X	Clinical Social Worker	01664	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0007810669	OTHER	IA	AETNA
2	39883	OTHER	IA	WELLMARK BC/BS
3	100059455001	OTHER	IA	APS HEALTHCARE
4	9357788	OTHER	IA	PRIVATE HEALTHCARE SYSTEM
5	110623	OTHER	IA	HEALTH ALLIANCE
6	38042	OTHER	IA	WELLMARK BC/BS

General Provider Information

NPI Number	:	1487620068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLUTION ENTERPRISES

Provider Business Mailing Address
First Line	:	11963 580TH AVE
Second Line	:
City	:	STORY CITY
State	:	IA
Zip	:	50248-8745
Country	:	US
Telephone Number	:	515-979-5661
Fax Number	:

Provider Business Practice Location Address
First Line	:	914 WILLSON AVE
Second Line	:
City	:	WEBSTER CITY
State	:	IA
Zip	:	50595-2215
Country	:	US
Telephone Number	:	515-979-5661
Fax Number	:

Authorized Official
Title or Position	:	MENTAL HEALTH THERAPIST
Name	:	BRENDA LYNN GERDES
Credential	:	LISW
Telephone Number	:	515-979-5661

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	08/22/2020

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Directions to “SOLUTION ENTERPRISES ” Practice Location

Language	Start Address	Practice Location

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