| Mr Tim Griem, LISW | |
|
709 W Main St, Manchester, IA 52057-1526 | |
| (563) 927-7330 | |
| (563) 927-7409 |
| Full Name | Mr Tim Griem |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 709 W Main St, Manchester, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689637696 | NPI | - | NPPES |
| 0091637 | Medicaid | IA | |
| 231737 | Other | IA | MIDLANDS |
| 09971 | Other | IA | BCIA |
| IA0127 | Other | IA | JOHN DEERE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 05233 (Iowa) | Primary |
| Entity Name | Covenant Family Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407295280 PECOS PAC ID: 2264738756 Enrollment ID: O20160309001544 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tim Griem, LISW 709 W Main St, Manchester, IA 52057-1526 Ph: (563) 927-7330 | Mr Tim Griem, LISW 709 W Main St, Manchester, IA 52057-1526 Ph: (563) 927-7330 |
Mrs. Rhonda Gotto, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 709 W Main St, Manchester, IA 52057 Phone: 563-927-7330 Fax: 563-927-7409 | |
Mrs. Connie Seth, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 709 W Main St, Manchester, IA 52057 Phone: 563-927-7330 Fax: 563-927-7409 | |
Lee J Zook, PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 709 W Main St, Manchester, IA 52057 Phone: 563-927-7330 Fax: 563-927-7409 | |
Courtney Nolen, LCSW, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 709 W Main St, Manchester, IA 52057 Phone: 563-927-3232 | |
Mr. Rodney Schreck, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 709 W Main St, Manchester, IA 52057 Phone: 563-927-7746 Fax: 563-927-7444 | |
Mr. Chidi Ojinnaka, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 709 W Main St, Manchester, IA 52057 Phone: 563-927-7330 Fax: 563-927-7409 |