MEDICARE: MS. ELIZABETH JACLYN HUEBSCH LMSW

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	104100000X	Social Worker	007533	IA

General Provider Information

NPI Number	:	1669757662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELIZABETH JACLYN HUEBSCH LMSW

Provider Business Mailing Address
First Line	:	541 35TH ST
Second Line	:	APT 4
City	:	DES MOINES
State	:	IA
Zip	:	50312-3437
Country	:	US
Telephone Number	:	515-313-3939
Fax Number	:

Provider Business Practice Location Address
First Line	:	950 OFFICE PARK RD STE 221
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50265-2548
Country	:	US
Telephone Number	:	515-313-3939
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2011
Last Update Date	:	01/23/2023

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