Active NPI
Amy Kluver, LISW, CADC
- Clinical Social Worker
- Urbandale, IA
National Provider Identifier
1780049593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 076983
- Practice address
- 7611 Douglas Ave.
Ste. 26
Urbandale, IA 50322-3076 - Phone
- (515) 553-7369
- NPI assigned
- Dec 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10096 | IA | |
| Clinical Social Worker | 1041C0700X | 076983 | IA | Primary |
Addresses
Primary practice location
7611 Douglas Ave.
Ste. 26
Urbandale, IA 50322-3076
Mailing address
7611 Douglas Ave Ste 26
Urbandale, IA 50322-3076
Phone (515) 553-7369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10096 | IA | MD | Addiction (Substance Use Disorder) Counselor |
| 076983 | IA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1780049593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7611 DOUGLAS AVE STE 26",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503223076",
"telephone_number": "515-553-7369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7611 DOUGLAS AVE.",
"address_2": "STE. 26",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503223076",
"telephone_number": "515-553-7369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUVER",
"first_name": "AMY",
"credential": "LISW, CADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-21",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IA",
"license": "10096",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "076983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Urbandale, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.