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NPI Code Detail

MEDICARE: BIRDS BARK, LLC

MEDICARE: BIRDS BARK, LLC
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 Worker

General Provider Information

NPI Number : 1932061710
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIRDS BARK, LLC
Provider Business Mailing Address
First Line : 123 N LINN ST STE 2D
Second Line :
City : IOWA CITY
State : IA
Zip : 52245-2147
Country : US
Telephone Number : 802-335-2336
Fax Number :
Provider Business Practice Location Address
First Line : 123 N LINN ST STE 2D
Second Line :
City : IOWA CITY
State : IA
Zip : 52245-2147
Country : US
Telephone Number : 802-335-2336
Fax Number :
Authorized Official
Title or Position : OWNER/THERAPIST
Name : MS. ANNE KATHERINE VENTULLO
Credential : LISW
Telephone Number : 319-415-2336
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/01/2025

Similar Medicare Providers

1518330547 — MS. ANNE VENTULLO LMSW
Practice Location Address:
123 N LINN ST STE 2D
IOWA CITY, IA
52245-2147
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1124395256 — JENNIFER HOLLY GRADDICK LISW
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1619542321 — DR. MATTHEW A COHEN PH.D.
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1225608151 — MONICA JANE MCWILLIAMS
Practice Location Address:
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52245-2147
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Practice Fax:
1356050116 — OLIVIA OUTLUND LMSW
Practice Location Address:
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Directions to “BIRDS BARK, LLC ” Practice Location

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