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NPI Code Detail

MEDICARE: SHEILA AUKES LISW

MEDICARE: SHEILA AUKES LISW
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
1104100000XSocial Worker06089IA
21041C0700XClinical Social Worker06089IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639263536
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEILA AUKES LISW
Provider Business Mailing Address
First Line : PO BOX 4925
Second Line :
City : DES MOINES
State : IA
Zip : 50305-4925
Country : US
Telephone Number : 515-271-6300
Fax Number : 515-271-6311
Provider Business Practice Location Address
First Line : 1105 N ANKENY BLVD STE 100
Second Line :
City : ANKENY
State : IA
Zip : 50023-4003
Country : US
Telephone Number : 515-255-8399
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 11/21/2023

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Directions to “ SHEILA AUKES LISW” Practice Location

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