Sarah Kivisto, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

06549 Issued in IA

Practice address

2550 Middle Rd
Ste 3
Bettendorf, IA 52722-3298

Phone

(563) 888-6275

Fax

(563) 884-4638

NPI assigned

May 8, 2007

Last updated

Apr 20, 2020By the provider in NPPES

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

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kivisto Counseling and Therapy LLC

  dba River City Psychotherapy

  • Community/Behavioral Health Agency
  • Bettendorf, IA
  • NPI 1659991610
  Medicare reassignment NPD Authorized official
• QC Counselor PLC

  • Mental Health Counselor
  • Davenport, IA
  • NPI 1285919977
  NPD (past)
• Vera French Community Mental Health

  dba Vera French Clinic at Duck Creek

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bettendorf, IA
  • NPI 1568239978
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1568675361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24666 257TH ST",
            "city": "PRINCETON",
            "state": "IA",
            "postal_code": "527689727",
            "telephone_number": "563-265-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 MIDDLE RD",
            "address_2": "STE 3",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223298",
            "telephone_number": "563-888-6275",
            "fax_number": "563-884-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIVISTO",
        "first_name": "SARAH",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Lee Kingma, D.D.S.
• Lisa Lynn Kinney, L.P.C.
• Bradi Michael Peter Kipper, PA-C
• Richard M Kishiue, MD
• Kivisto Counseling and Therapy LLC (River City Psychotherapy)
• Joseph David Klein, D.V.M.
• John J Klosak, M.D.
• Chad R Kluver, OD
• Robert J Knott, RPH
• Andrew Jacob Knudsen, PA-C

• Clinical Social Worker in Bettendorf, IA
• Providers in Bettendorf, 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 Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.