| Julie Mcclatchey, Lisw, Pc | |
|
5000 Westown Pkwy Ste 100 West Des Moines IA 50266-5921 | |
| (515) 884-8802 | |
| (515) 884-8846 |
| Full Name | Julie Mcclatchey, Lisw, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5000 Westown Pkwy Ste 100, West Des Moines, Iowa |
| Authorized Official Name and Position | Julie Mcclatchey (OWNER) |
| Authorized Official Contact | 5158848802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Mcclatchey, Lisw, Pc 1609 Nw 125th St Clive IA 50325-8153 Ph: (515) 240-3644 | Julie Mcclatchey, Lisw, Pc 5000 Westown Pkwy Ste 100 West Des Moines IA 50266-5921 Ph: (515) 884-8802 |
| NPI Number | 1205506458 |
|---|---|
| Provider Enumeration Date | 09/19/2021 |
| Last Update Date | 10/20/2021 |
| Certification Date | 10/19/2021 |
| Medicare PECOS PAC ID | 2163800798 |
|---|---|
| Medicare Enrollment ID | O20220609001524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205506458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Julie A Mcclatchey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528484979 PECOS PAC ID: 7517186729 Enrollment ID: I20140922001014 |
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