Individual provider Active NPI

Kelsey Anderson, LISW, LCSW

  • Clinical Social Worker
  • Coralville, IA
National Provider Identifier
1750996708
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
099898 Issued in IA
Practice address
520 10TH Ave Ste 200
Coralville, IA 52241-1910
Phone
(319) 688-3333
NPI assigned
Sep 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.025795 IL
Clinical Social Worker 1041C0700X 099898 IA Primary

Addresses

Primary practice location

520 10TH Ave Ste 200
Coralville, IA 52241-1910

Mailing address

520 10TH Ave Ste 200
Coralville, IA 52241-1910
Phone (319) 688-3333

Other names 1

  • Kelsey Guyette Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251105002765 IA Practitioner - Clinical Social Worker 5193215481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadowlark Partners LLCGroup PAC ID 8921331836, 32 clinicians

Practice addresses (Care Compare)

320 W Cherry St
Meadowlark Psychiatric Services
North Liberty, IA 52317-8819
Phone (319) 626-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
099898IAMDClinical Social Worker
149.025795ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Meadowlark Partners LLC Clinical CurrentSince Oct 10, 2025 Accepting new patients

Locations

320 W Cherry St
North Liberty, IA 52317
Phone (319) 626-3300

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1750996708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 10TH AVE STE 200",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411910",
            "telephone_number": "319-688-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 10TH AVE STE 200",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411910",
            "telephone_number": "319-688-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KELSEY",
        "credential": "LISW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.025795",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "099898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "GUYETTE",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.