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NPI Code Detail

MEDICARE: LIFEWORKS, INC.

MEDICARE: LIFEWORKS, INC.
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 Worker04243IA

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 : 1972660256
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFEWORKS, INC.
Provider Business Mailing Address
First Line : 600 42ND ST
Second Line :
City : DES MOINES
State : IA
Zip : 50312-2701
Country : US
Telephone Number : 515-255-8399
Fax Number : 515-255-8405
Provider Business Practice Location Address
First Line : 600 42ND ST
Second Line :
City : DES MOINES
State : IA
Zip : 50312-2701
Country : US
Telephone Number : 515-255-8399
Fax Number : 515-255-8405
Authorized Official
Title or Position : PRESIDENT
Name : MR. JOHN JOSEPH STANLEY
Credential : LISW
Telephone Number : 515-255-8399
Provider Enumeration Date : 01/03/2007
Last Update Date : 02/01/2012

Similar Medicare Providers

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1205821337 — DR. MANMOHAN SINGH MD
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1275616237 — JULIE A. TOTTEN LISW
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1669517439 — LIFEWORKS INC
Practice Location Address:
600 42ND ST
DES MOINES, IA
50312-2701
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1508044454 — MR. JOHN JOSEPH STANLEY MSW LISW
Practice Location Address:
600 42ND ST
DES MOINES, IA
50312-2701
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1700043445 — MARY MICHAL MCCLURE MSW
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Directions to “LIFEWORKS, INC. ” Practice Location

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