Keli Hagen Lisw, Pllc - Medicare Mental Health Clinic in Cedar Rapids, IA

Keli Hagen Lisw, Pllc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Cedar Rapids, Iowa. The current practice location for Keli Hagen Lisw, Pllc is 4403 1st Ave Se Ste 412, Cedar Rapids, Iowa. For appointments, you can reach them via phone at (319) 213-2922. The mailing address for Keli Hagen Lisw, Pllc is 4403 1st Ave Se Ste 412, Cedar Rapids, Iowa and phone number is (319) 213-2922.

Keli Hagen Lisw, Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1013529114. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (319) 213-2922.

Contact Information

Keli Hagen Lisw, Pllc
4403 1st Ave Se Ste 412
Cedar Rapids
IA 52402-3221
(319) 213-2922
Not Available

Mental Health Clinic Profile

Full NameKeli Hagen Lisw, Pllc
SpecialitySocial Worker
Location4403 1st Ave Se Ste 412, Cedar Rapids, Iowa
Authorized Official Name and PositionKeli B Hagen (SOLE MEMBER)
Authorized Official Contact3192132922
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Keli Hagen Lisw, Pllc
4403 1st Ave Se Ste 412
Cedar Rapids
IA 52402-3221

Ph: (319) 213-2922
Keli Hagen Lisw, Pllc
4403 1st Ave Se Ste 412
Cedar Rapids
IA 52402-3221

Ph: (319) 213-2922

NPI Details:

NPI Number1013529114
Provider Enumeration Date08/19/2020
Last Update Date08/19/2020
Certification Date08/19/2020

Medicare PECOS Information:

Medicare PECOS PAC ID6800212549
Medicare Enrollment IDO20200812002569

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Medical Identifiers

Medical identifiers for Keli Hagen Lisw, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013529114NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Keli Hagen Lisw, Pllc acts as a billing entity for following providers:
Provider NameKeli B Hagen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1497211007
PECOS PAC ID: 2062839004
Enrollment ID: I20200909000120

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Social Worker in Cedar Rapids, IA

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Practice Location: 2309 C St Sw, Cedar Rapids, IA 52404
Phone: 319-365-9164    Fax: 319-365-6411
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Horizons, A Family Service Alliance
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Practice Location: 819 5th St Se, Cedar Rapids, IA 52401
Phone: 319-398-3943    Fax: 888-632-7914
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Medicare: Not Enrolled in Medicare
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