| Roseroot Counseling And Consulting, Ltd. | |
|
6600 University Ave Des Moines IA 50324-1639 | |
| (515) 306-4590 | |
| Not Available |
| Full Name | Roseroot Counseling And Consulting, Ltd. |
|---|---|
| Speciality | Social Worker |
| Location | 6600 University Ave, Des Moines, Iowa |
| Authorized Official Name and Position | Jennifer Haidar (LISW CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5153064590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roseroot Counseling And Consulting, Ltd. 465 52nd Pl West Des Moines IA 50265-2897 Ph: (515) 306-4590 | Roseroot Counseling And Consulting, Ltd. 6600 University Ave Des Moines IA 50324-1639 Ph: (515) 306-4590 |
| NPI Number | 1932810868 |
|---|---|
| Provider Enumeration Date | 12/12/2022 |
| Last Update Date | 12/12/2022 |
| Certification Date | 12/12/2022 |
| Medicare PECOS PAC ID | 7315310695 |
|---|---|
| Medicare Enrollment ID | O20230307002839 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932810868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer E Haidar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508472044 PECOS PAC ID: 7810361938 Enrollment ID: I20230313001097 |
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