Provider Demographics
NPI:1518031061
Name:DIRKS, APRIL BEE (PHD,LISW)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:BEE
Last Name:DIRKS
Suffix:
Gender:F
Credentials:PHD,LISW
Other - Prefix:MS
Other - First Name:APRIL
Other - Middle Name:BEE
Other - Last Name:DIRKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD,LISW
Mailing Address - Street 1:624 N JOHNSON ST
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-2005
Mailing Address - Country:US
Mailing Address - Phone:319-430-2263
Mailing Address - Fax:
Practice Address - Street 1:505 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-1842
Practice Address - Country:US
Practice Address - Phone:319-430-2263
Practice Address - Fax:319-337-3080
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA059751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA36579OtherWELLMARK
IAI 14029Medicare UPIN