Provider Demographics
NPI:1790895373
Name:MORKERT, LAURIE H (MSW)
Entity Type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:H
Last Name:MORKERT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:LAURIE
Other - Middle Name:ANN
Other - Last Name:HRABETIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:2213 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50312-5305
Mailing Address - Country:US
Mailing Address - Phone:515-237-3974
Mailing Address - Fax:515-883-2692
Practice Address - Street 1:2130 GRAND AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50312-5365
Practice Address - Country:US
Practice Address - Phone:515-282-3977
Practice Address - Fax:515-282-3988
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00068351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1790895373OtherWELLMARK BCBS
IA1790895373OtherWELLMARK BCBS