Individual provider Active NPI

Kaytee Jo Van Clark, LMSW

  • Clinical Social Worker
  • Des Moines, IA
National Provider Identifier
1942135959
Registry record updated Jun 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
137363 Issued in IA
Practice address
401 NE 66TH Ave
Des Moines, IA 50313-1243
Phone
(515) 289-1933
NPI assigned
Jun 13, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 137363 IA Primary

Addresses

Primary practice location

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

Mailing address

401 NE 66TH Ave
Des Moines, IA 50313-1243
Phone (515) 289-1933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Easter Seal Society of Iowa, Inc. PastSince Apr 16, 2021 Accepting new patients

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": "1781308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781308800000",
    "number": "1942135959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 NE 66TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503131243",
            "telephone_number": "515-289-1933"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN CLARK",
        "first_name": "KAYTEE",
        "middle_name": "JO",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-13",
        "last_updated": "2026-06-13",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "137363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2026; 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.