JOHANNA LYN GRENKO


Address: 2340 Euclid Ave, Des Moines, IA 50310-5702
Phone: 5152630019

JOHANNA LYN GRENKO (NPI# 1366099699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366099699
Entity Type Individual
Full Name JOHANNA LYN GRENKO
Credential LMSW
Practice Address 2340 Euclid Ave
Des Moines
IA 50310-5702
Practice Telephone 5152630019
Practice Fax Number 5152630048
Mailing Telephone 5152630019
Mailing Fax Number 5152630048
Enumeration Date 2019-08-21
Last Update Date 2019-08-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
095201 IA Behavioral Health & Social Service Providers

Office Location

Street Address 2340 EUCLID AVE
City DES MOINES
State IA
Zip Code 50310-5702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093701922 Lisa Walton Social Worker 2340 Euclid Ave, Des Moines, IA 50310-5702 2005-09-26
1316594856 Tonya Nicole Crawford Counselor 2340 Euclid Ave, Des Moines, IA 50310-5702 2019-08-20
1881253631 Lauren Elizabeth Flynn Social Worker 2340 Euclid Ave, Des Moines, IA 50310-5702 2019-06-06
1295211670 Daniel E Chavarria Counselor 2340 Euclid Ave, Des Moines, IA 50310-5702 2018-07-18
1043796295 Jonathan S Fasse Social Worker 2340 Euclid Ave, Des Moines, IA 50310-5702 2018-07-11
1427563972 Sarita Roby Social Worker 2340 Euclid Ave, Des Moines, IA 50310-5702 2017-12-06
1669911699 Nicole Reedy Counselor 2340 Euclid Ave, Des Moines, IA 50310 2017-02-23
1568908341 Star Jammerz Inc Early Intervention Provider Agency 2340 Euclid Ave, Des Moines, IA 50310-5702 2017-01-17
1568918175 Lynette Grooters Social Worker 2340 Euclid Ave, Des Moines, IA 50310-5702 2016-09-01
1154875649 Nancy Lynch Social Worker 2340 Euclid Ave, Des Moines, IA 50310-5702 2016-08-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295392082 Cofe Amera LLC Meals 4940 Franklin Ave., Des Moines, IA 50310 2019-05-28
1790237444 Shannon Schneider Occupational Therapy Assistant 3802 Hillcrest Dr, Des Moines, IA 50310 2016-10-28
1013261874 Department of Veterans Affairs Central Iowa Health Care System Long Term Care Hospital 3011 Aurora Ave, Des Moines, IA 50310 2012-11-01
1700095551 Real Optics Inc Eyewear Supplier (Equipment, not the service) 100 Merle Hay Road, Merle Hay Mall, Des Moines, IA 50310 2007-05-21
1184776023 Mosaic Intermediate Care Facility, Mentally Retarded 4201 41st Street, Des Moines, IA 50310 2007-01-18
1639237951 Terry D. Huseman Od PC Optometrist 3800 Merle Hay Rd #501, Des Moines, IA 50310 2006-12-06
1386710259 Mosier Dental Associates Dentist 1816 Beaver Ave, Des Moines, IA 50310 2006-11-24
1194828632 James Matthew Talone Psychologist Va Cihcs (116a), 3600 30th St, Des Moines, IA 50310 2006-09-07
1437251824 Mary Cynthia Chicoine Social Worker 3601 Douglas Ave, Des Moines, IA 50310 2006-09-05
1508978602 Chadwick Aaron Johnson Dentist 3710 Merle Hay Road, Des Moines, IA 50310 2006-08-31
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891321998 Christopher Kingsley Social Worker 3600 30th St Bldg 3, Des Moines, IA 50310-5753 2020-03-20
1477183119 Certintell, Inc. Social Worker 317 6th Ave Ste 901, Des Moines, IA 50309-4120 2020-01-22
1043879513 Matthew Hotek Social Worker 600 E Court Ave Ste 200, Des Moines, IA 50309-2058 2019-06-10
1114483997 Tiffany Elizabeth Martinez Social Worker 22525 Marine View Dr S Ste 200, Des Moines, WA 98198-6879 2019-02-15
1104398395 Erin Grace Suchy-johnson Social Worker 3900 Ingersoll Ave Ste 201, Des Moines, IA 50312-3551 2018-12-28
1386146678 Meditelecare of Iowa Pllc Social Worker 400 E Court Ave Ste 110, Des Moines, IA 50309-2027 2018-03-02
1912428970 Lindsey Marie Hoodjer Social Worker 3850 Merle Hay Rd Ste 357, Des Moines, IA 50310-1330 2017-06-29
1457807000 Patricia Bularzik Social Worker 808 5th Avenue, Des Moines, IA 50309 2016-09-01
1396128492 Sarah Lynn Cavan Social Worker 1301 Center, Eyerly Ball Community Mental Health Center, Des Moines, IA 50309 2015-07-07
1730560939 Thriving Families Counseling Services Social Worker 333 Sw 9th St Ste J, Des Moines, IA 50309-4440 2015-06-12
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Competitor

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City DES MOINES
Zip Code 50310

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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