Jessica Lynne Klahsen, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

084319 Issued in IA

Practice address

2530 University Ave
Suite 1
Waterloo, IA 50701

Phone

(319) 229-5030

Fax

(319) 290-2714

NPI assigned

Dec 20, 2017

Last updated

Jul 21, 2022By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Resources for Human Development

  • Community/Behavioral Health Agency
  • Waterloo, IA
  • NPI 1952757320
  NPD (past)

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609382167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 UNIVERSITY AVE",
            "address_2": "SUITE 1",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "50701",
            "telephone_number": "319-229-5030",
            "fax_number": "319-290-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 UNIVERSITY AVE",
            "address_2": "SUITE 1",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "50701",
            "telephone_number": "319-229-5030",
            "fax_number": "319-290-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAHSEN",
        "first_name": "JESSICA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "084319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin D King, DDS
• Kelsey Phylicia King, T-CADC, BA
• Joselyn Kinter, SA-C
• Jamie Lyn Kirby, M.S.P.T.
• Dennis Kitzman, PHARMD
• Spencer Kay Kleitsch, ARNP
• Dawn Marie Kleve, ARNP
• Taylor Kristin Kline, PA, RDN
• Debra Sue Kloster
• Jeannine Marie Knickerbocker, DPT

• Social Worker in Waterloo, IA
• Providers in Waterloo, IA by specialty
• 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.