Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathy M Khommanyvong, LMSW

Individual provider Clinical Social Worker · NPI 1033250402

Kathy M Khommanyvong, LMSW is a Clinical Social Worker in Fort Dodge, Iowa. Licensed in Iowa. Registered with an NPI since 2007.

Licensed in
IA
In the registry since
2007
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

720 Kenyon Rd North Central Iowa Mhc Dba Berryhill Center For Mental
Fort Dodge, IA 50501-0000
Phone: (515) 955-7171
Fax: (515) 573-7898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 03941 (IA)

Record details

NPI number1033250402
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedFebruary 9, 2007
Last updated in NPPESFebruary 9, 2009

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