Active NPI
Synergy Clinical Services of Central Iowa LLC
- Social Worker
- Des Moines, IA
National Provider Identifier
1811358658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | synergyclinicalservices |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Des Moines, IA
- NPI 1235571928
-
- Clinical Social Worker
- Des Moines, IA
- NPI 1194226670
-
- Clinical Social Worker
- Des Moines, IA
- NPI 1598289688
-
- Psychiatric/Mental Health Nurse Practitioner
- Iowa Falls, IA
- NPI 1285047951
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.