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

Individual provider Clinical Social Worker · NPI 1104266014

Kelli Jean Smith, LISW is a Clinical Social Worker in Waterloo, Iowa. Practices as a sole proprietor and works from 2 locations. Licensed in Iowa.

Licensed in
IA
In the registry since
2013
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

128 Plaza Cir
Waterloo, IA 50701-5139
Phone: (319) 774-3081
Fax: (319) 435-4155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 128 Plaza Cir, Waterloo, IA 50701-5139 — (319) 774-3081

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 007960 (IA)

Record details

NPI number1104266014
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorYes
NPI enumeratedJune 25, 2013
Last updated in NPPESJuly 17, 2025
Certification dateJuly 8, 2025
Mailing address128 Plaza Cir, Waterloo, IA 50701-5139

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