| Jacqueline Ann Weydert, LISW | |
|
200 4th Ave W, Grinnell, IA 50112-1833 | |
| (641) 236-6137 | |
| Not Available |
| Full Name | Jacqueline Ann Weydert |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 21 Years |
| Location | 200 4th Ave W, Grinnell, 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 |
|---|---|---|---|
| 1871752436 | NPI | - | NPPES |
| 1871752436 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 06609 (Iowa) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Life Counseling And Psychological Services Llc | 5496649022 | 6 |
| Entity Name | Family Life Counseling And Psychological Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851459473 PECOS PAC ID: 5496649022 Enrollment ID: O20040212000722 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Ann Weydert, LISW 200 4th Ave W, Grinnell, IA 50112-1833 Ph: (641) 236-6137 | Jacqueline Ann Weydert, LISW 200 4th Ave W, Grinnell, IA 50112-1833 Ph: (641) 236-6137 |
Jenica Arias, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 817 4th Ave, Grinnell, IA 50112 Phone: 641-323-2729 | |
Mrs. Beth Mi Gallegos, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 807 4th, Grinnell, IA 50112 Phone: 641-781-0770 Fax: 626-795-7080 | |
Ms. Kimberlee A Kali, LCSW/LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 800 4th Ave Unit 5117, Grinnell, IA 50112 Phone: 785-410-5347 Fax: 877-836-1290 |