Alissa Ann Knudtson, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007064 Issued in IA

Practice address

2500 82ND PL
Des Moines, IA 50322-4329

Phone

(515) 412-5112

Fax

(515) 412-5123

NPI assigned

Sep 23, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083922108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 82ND PL",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503224329",
            "telephone_number": "515-412-5112",
            "fax_number": "515-412-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 82ND PL",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503224329",
            "telephone_number": "515-412-5112",
            "fax_number": "515-412-5123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Laurel St",
            "address_2": "Suite: 3310",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503143017",
            "country_code": "US",
            "telephone_number": "515-643-9290",
            "fax_number": "515-643-6291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNUDTSON",
        "first_name": "ALISSA",
        "middle_name": "ANN",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayce Knight, PT, DPT
• Simon Knoblauch
• Brooke L Knop, CNM
• Olivia Knowles
• Dori Knowlton, B.S.
• Allison Knudtson
• Kobi Home Care Services LLC
• Brandon Koch, MD
• Heidi Marie Koch, M.D.
• Larry Koch, LMHC

• Clinical Social Worker in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.