| Diane Sue Mangold, LISW | |
|
824 Flindt Dr, Suite 103, Storm Lake, IA 50588-3208 | |
| (712) 732-3736 | |
| (712) 732-3275 |
| Full Name | Diane Sue Mangold |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 24 Years |
| Location | 824 Flindt Dr, Storm Lake, Iowa |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972552917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 06199 (Iowa) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kanza Mental Health And Guidance Center, Inc. | 7810958998 | 6 |
| Entity Name | Kanza Mental Health And Guidance Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619909181 PECOS PAC ID: 7810958998 Enrollment ID: O20041021000916 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Sue Mangold, LISW 201 E 11th St, Spencer, IA 51301-4436 Ph: (712) 262-2922 | Diane Sue Mangold, LISW 824 Flindt Dr, Suite 103, Storm Lake, IA 50588-3208 Ph: (712) 732-3736 |
Joanne Alvorez, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 728 Erie Street, Storm Lake, IA 50588 Phone: 712-213-8402 | |
Lisa Joline Krause-reinert, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 824 Flindt Dr, Suite 103, Storm Lake, IA 50588 Phone: 712-732-3736 Fax: 712-732-3275 | |
Margaret Mckeon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 540 Oneida St Ste 1, Storm Lake, IA 50588 Phone: 712-262-2922 |