Organization Active NPI

Synergy Clinical Services of Central Iowa LLC

  • Social Worker
  • Des Moines, IA
National Provider Identifier
1811358658
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
SYNERGY CLINICAL SERVICES OF CENTRAL IOWA LLC
Practice address
3004 30TH St
Des Moines, IA 50310-5259
Phone
(515) 277-6399
NPI assigned
Mar 7, 2016
Last updated
Oct 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Christopher Scott Erickson, LISW, IADC
Title
Managing Partner
Phone
(515) 570-3662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

3004 30TH St
Des Moines, IA 50310-5259

Mailing address

3004 30TH St
Des Moines, IA 50310-5259
Phone (515) 277-6399

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNONE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL synergyclinicalservices

National Provider Directory

National Provider Directory

Locations

4725 Merle Hay Rd
Ste 106
Des Moines, IA 50322
Phone (515) 214-1241

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1811358658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 30TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503105259",
            "telephone_number": "515-277-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 30TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503105259",
            "telephone_number": "515-277-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY CLINICAL SERVICES OF CENTRAL IOWA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "515-570-3662",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LISW, IADC"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "synergyclinicalservices",
            "affiliation": "N",
            "address_1": "3004 30th St",
            "city": "Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503105259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.