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

Kimberly Jo Smith, LISW

Individual provider Social Worker · NPI 1881238244

Kimberly Jo Smith, LISW is a Clinical Social Worker in Mason City, Iowa. Qualified in 2020, 6 years ago. Practices with Prairie Ridge Integrated Behavioral Healthcare, a 22-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Iowa.

Years since qualifying
6
Licensed in
IA
In the registry since
2019
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

320 N Eisenhower Ave
Mason City, IA 50401-1521
Phone: (641) 424-2391
Fax: (641) 424-0783
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 099698 (IA)

Record details

NPI number1881238244
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorYes
NPI enumeratedOctober 29, 2019
Last updated in NPPESFebruary 14, 2024
Certification dateFebruary 14, 2024
Mailing address703 W Main St, Fertile, IA 50434-1031

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Prairie Ridge Integrated Behavioral Healthcare — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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