Individual provider Active NPI

Kimberly Sue Stalker

  • Clinical Social Worker
  • West Des Moines, IA
National Provider Identifier
1225878069
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12552 Issued in IA
Practice address
1601 22ND St Ste 302
West Des Moines, IA 50266-1408
Phone
(515) 339-4411
NPI assigned
May 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 12552 IA Primary

Addresses

Primary practice location

1601 22ND St Ste 302
West Des Moines, IA 50266-1408

Mailing address

1601 22ND St Ste 302
West Des Moines, IA 50266-1408
Phone (515) 339-4411

Other practice location 1

939 Office Park Rd Ste 200
West Des Moines, IA 50265-2538
Phone (515) 339-4411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12552IAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1225878069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 22ND ST STE 302",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661408",
            "telephone_number": "515-339-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 22ND ST STE 302",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661408",
            "telephone_number": "515-339-4411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "939 Office Park Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502652538",
            "country_code": "US",
            "telephone_number": "515-339-4411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STALKER",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "12552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.