Individual provider · Type 1 NPI

Kimberly Dianne Peterson, LISW

Clinical Social Worker · Des Moines, IA

NPI number 1407384233 Active

Practice location

6601 SW 9th St
Des Moines, IA 50315-6138

Call (515) 643-8350 Map

Fax (515) 643-5824

Mailing address

PO Box 1475
Des Moines, IA 50305-1475

Other practice locations

1525 Grand Ave, West Des Moines, IA 50265-3412 · (515) 643-8350
800 E 1st St Ste 1700, Ankeny, IA 50021-2100 · (515) 643-8350
1007 S Jefferson Way, Indianola, IA 50125-3221 · (515) 961-1154
1301 Center St, Des Moines, IA 50309-1004 · (515) 241-0982

Specialties and licenses

Taxonomy	Code	License
Social Worker	104100000X	06171 (IA)
Clinical Social Worker Primary	1041C0700X	06171 (IA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1407384233

Kimberly Dianne Peterson, LISW's National Provider Identifier is 1407384233, issued on May 24, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Des Moines, IA. The record was last updated on Dec 27, 2024.