| Ms Thea Guest, MS, LISW, NCC | |
|
322 E 6th St, Carroll, IA 51401-2501 | |
| (712) 563-5285 | |
| (855) 303-9139 |
| Full Name | Ms Thea Guest |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 14 Years |
| Location | 322 E 6th St, Carroll, 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 |
|---|---|---|---|
| 1427422260 | NPI | - | NPPES |
| 6408605 | Medicaid | IA | |
| 1140292 | Medicaid | IA | |
| 0140292 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 074609 (Iowa) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Touching Lives Center, Llc | 0840735247 | 3 |
| Entity Name | Touching Lives Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225805799 PECOS PAC ID: 0840735247 Enrollment ID: O20240710001519 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Thea Guest, MS, LISW, NCC 515 Pacific Ave Ste 1, Audubon, IA 50025-1056 Ph: (712) 563-5285 | Ms Thea Guest, MS, LISW, NCC 322 E 6th St, Carroll, IA 51401-2501 Ph: (712) 563-5285 |
Rita M Burley, L.I.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 311 S Clark St, Carroll, IA 51401 Phone: 712-792-3581 Fax: 712-792-2124 | |
Diane M Pinneke, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 311 S Clark St, Carroll, IA 51401 Phone: 712-792-3581 Fax: 712-792-2124 | |
Elizabeth Jones, LBSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23751 Highway 30, Carroll, IA 51401 Phone: 712-792-9266 Fax: 712-792-1457 | |
Chad Jensen, LMSW, IADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23751 Highway 30, Carroll, IA 51401 Phone: 712-792-9266 | |
Kylie Hepp, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 524 E 7th St, Carroll, IA 51401 Phone: 712-262-2922 |