Provider Demographics
NPI:1568438695
Name:DEMONEY, AMY ELIZABETH (LISW)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:ELIZABETH
Last Name:DEMONEY
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:ELIZABETH
Other - Last Name:WARRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISW
Mailing Address - Street 1:4949 WESTOWN PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-6704
Mailing Address - Country:US
Mailing Address - Phone:515-373-2349
Mailing Address - Fax:515-870-2964
Practice Address - Street 1:4949 WESTOWN PKWY STE 100
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-6704
Practice Address - Country:US
Practice Address - Phone:515-373-2349
Practice Address - Fax:515-870-2964
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA03241104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAP27195Medicare UPIN
IAI1585Medicare PIN