Provider Demographics
NPI:1598373664
Name:ERIXON, ZOEY SUZANNE (LMSW)
Entity Type:Individual
Prefix:
First Name:ZOEY
Middle Name:SUZANNE
Last Name:ERIXON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3737 WOODLAND AVE STE 620
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-1909
Mailing Address - Country:US
Mailing Address - Phone:515-992-6477
Mailing Address - Fax:515-446-9708
Practice Address - Street 1:3737 WOODLAND AVE STE 620
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-1909
Practice Address - Country:US
Practice Address - Phone:515-992-6477
Practice Address - Fax:515-446-9708
Is Sole Proprietor?:No
Enumeration Date:2020-07-15
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0998681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical