Individual
JEAN KATHLEEN DEMBINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1301 CENTER ST, DES MOINES, IA 50309-1004
(515) 241-0982
Mailing address
945 19TH ST, DES MOINES, IA 50314-1117
(515) 241-0982
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
096224
IA
1041C0700X
Clinical Social Worker
078089
NY
171M00000X
Case Manager/Care Coordinator
078089
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00618162
GROUP MEDICAID NUMBER
NY
05
—
1023054376
—
NY
01
—
39062A
GROUP MEDICARE NUMBER
NY
Enumeration date
02/19/2009
Last updated
12/08/2023
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