| Johanna Lyn Grenko, LMSW | |
|
2340 Euclid Ave, Des Moines, IA 50310-5702 | |
| (515) 263-0019 | |
| (515) 263-0048 |
| Full Name | Johanna Lyn Grenko |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2340 Euclid Ave, Des Moines, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366099699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 095201 (Iowa) | Primary |
| Entity Name | Broadlawns Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467447508 PECOS PAC ID: 3678466166 Enrollment ID: O20040206000913 |
| Mailing Address | Practice Location Address |
|---|---|
| Johanna Lyn Grenko, LMSW 2340 Euclid Ave, Des Moines, IA 50310-5702 Ph: (515) 263-0019 | Johanna Lyn Grenko, LMSW 2340 Euclid Ave, Des Moines, IA 50310-5702 Ph: (515) 263-0019 |
Martha Diaz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 808 5th Ave, Des Moines, IA 50309 Phone: 515-244-2267 | |
Gladys Noll Alvarez, L.I.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 808 5th Ave, Des Moines, IA 50309 Phone: 515-244-2267 | |
Angie Appelgate, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 808 5th Ave, Des Moines, IA 50309 Phone: 515-244-2267 | |
Janelle Kamba, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3200 Ingersoll Ave Ste E, Des Moines, IA 50312 Phone: 515-729-2019 | |
Rachel Nicole Ukena, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3600 30th St, Des Moines, IA 50310 Phone: 515-699-5999 | |
Jillian Lake, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 808 5th Ave, Des Moines, IA 50309 Phone: 515-244-2267 | |
Sarah Greazel, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3600 30th St, Des Moines, IA 50310 Phone: 515-699-5999 |