Kristie Clark, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

124537 Issued in IA

Practice address

401 NE 66TH Ave
Des Moines, IA 50313-1243

Phone

(515) 289-1933

Fax

(515) 289-1281

NPI assigned

Jul 1, 2024

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)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Easter Seal Society of Iowa, Inc.

  • Voluntary or Charitable Agency
  • Des Moines, IA
  • NPI 1295739951
  NPD

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1407691348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9517 ELM LN",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NE 66TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503131243",
            "telephone_number": "515-289-1933",
            "fax_number": "515-289-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KRISTIE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "124537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arcintina Marie Clark, LMSW
• Craig B Clark, D.O.
• Jessica Clark, RN MSN
• Jessica Clark, CADC
• Justin M Clark, DO
• Lauren E Clark, PHARM. D.
• Nadia Clark, ARNP
• Robert Louis Clark Jr., MD
• Rodney James Clark, ARNP
• Sandra Clark, MHCL

• 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 16, 2024; 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.