Compass Clinical Associates PLLC
Organization Active NPI Social Worker · Urbandale, IA
NPI 1295081941 · NPPES record last updated Jan 6, 2015
Key facts
- NPI
- 1295081941
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Social Worker 104100000X
- License
- 00063 (IL)
- Legal business name
- COMPASS CLINICAL ASSOCIATES PLLC
- Practice address
- 2500 82ND Place
Urbandale, IA 50322 - Phone
- (515) 412-5112
- Fax
- (515) 412-5123
- NPI assigned
- Jul 31, 2012
- Organization subpart
- No
Authorized official
- Name
- Mr. Bruce D. Buchanan, LISW
- Title
- Clinical Manager
- Phone
- (515) 412-5112
Practitioners 44
-
Melvin T. Bobo, LISW
-
Kirk Bragg, L.I.S.W.
-
Kevin Scott Brown, LMSW
-
Jessica Lynn Chiodo, ARNP
-
Raygena A Curry, LISW
-
Beth Frettim, PMHNP-BC
-
Teresa J. Gilbert, LISW
-
Frances Lucy Gorde, MS, LMHC, CEAP
-
David Mark Grove, PHD
-
Kristy Harrison, LISW
-
Joseph George Klipping, LMHC
-
Susan Leann Lang, MA
-
Erin Mohr, ARNP
-
Gayle J Murray, LISW
-
Malkan Pilipovic, ARNP
-
Colleen Jo Reinhardt, LISW
-
Cal Joseph Seda, PHD
-
Lurene Boehm-Shereck, LPC MH
-
Susan J Brown, MS LMHC LCPC
-
Sheryl Frye, LCSW
-
Michelle Hancock, PMHNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131121000188 | IA | Part B Supplier - Clinic/Group Practice | 2062648017 |
Receives reassigned benefits from 41 practitioners Practice locations: Urbandale, IA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | 00063 | IL | Yes |
Addresses
Primary practice location
2500 82ND Place
Urbandale, IA 50322
Mailing address
2500 82ND Place
Urbandale, IA 50322
Phone (515) 412-5112
Other providers in Urbandale, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2015. 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.