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

Kimberly Dianne Peterson, LISW

Individual provider Social Worker · NPI 1407384233

Kimberly Dianne Peterson, LISW is a Clinical Social Worker in Des Moines, Iowa. Qualified in 2002, 24 years ago. Practices with Mercy Clinics Inc, a 442-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Iowa.

Years since qualifying
24
Licensed in
IA
In the registry since
2017
Specialties on file
2
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

6601 SW 9th St
Des Moines, IA 50315-6138
Phone: (515) 643-8350
Fax: (515) 643-5824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 800 E 1st St Ste 1700, Ankeny, IA 50021-2100 — (515) 643-8350
  • 1301 Center St, Des Moines, IA 50309-1004 — (515) 241-0982
  • 1007 S Jefferson Way, Indianola, IA 50125-3221 — (515) 961-1154
  • 1525 Grand Ave, West Des Moines, IA 50265-3412 — (515) 643-8350

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 06171 (IA)
Social Worker Taxonomy 104100000X · Licence 06171 (IA)

Record details

NPI number1407384233
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorNo
NPI enumeratedMay 24, 2017
Last updated in NPPESDecember 27, 2024
Certification dateDecember 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Mercy Clinics Inc — 442 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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