Aging Pathways, LLC
Organization Active NPI Clinical Social Worker · Des Moines, IA
NPI 1215690490 · NPPES record last updated Oct 19, 2021
Key facts
- NPI
- 1215690490
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- AGING PATHWAYS, LLC
- Practice address
- 2704 Sheridan Ave
Des Moines, IA 50310-5601 - Phone
- (515) 272-5075
- NPI assigned
- Oct 14, 2021
- Organization subpart
- No
Authorized official
- Name
- Pamela Jeanne Nelson-Grotrian, L.I.S.W., M.S.W.
- Title
- Social Worker
- Phone
- (515) 272-5075
Practitioners 1
-
Pamela Nelson-Grotrian, LISW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211115002729 | IA | Part B Supplier - Clinic/Group Practice | 3870982762 |
Receives reassigned benefits from 1 practitioner Practice locations: Des Moines, IA; Urbandale, IA |
National Provider Directory
Locations
2987 100th St
Ste 4
Urbandale, IA 50322
Phone (515) 272-5075
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
2704 Sheridan Ave
Des Moines, IA 50310-5601
Mailing address
2704 Sheridan Ave
Des Moines, IA 50310-5601
Phone (515) 272-5075
Other providers in Des Moines, IA
- Aneesa Afroze
- Kelita Agan
- Riti Agarwal
- Kara Ager
- Robert Aghasaryan
- Aging Resources of Central Iowa
- Alexandra Agostini
- Agapito Pete Aguilar
- Christina Lynn Aguilar
- Jose G Aguilar
All providers in Des Moines, IA · Clinical Social Worker in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.