Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Alyssa Kay Fruchtenicht, LMSW

Individual provider Clinical Social Worker · NPI 1639511710

Mrs. Alyssa Kay Fruchtenicht, LMSW is a Clinical Social Worker in Waterloo, Iowa. Qualified in 2013, 13 years ago. Practices with Black Hawk-Grundy Mental Health Center Inc, a 21-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
13
Licensed in
IA
In the registry since
2013
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

3251 W 9th St
Waterloo, IA 50702-5310
Phone: (319) 234-2893
Fax: (319) 234-0354
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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 008166 (IA)

Record details

NPI number1639511710
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedJuly 18, 2013
Last updated in NPPESJuly 18, 2013

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Black Hawk-Grundy Mental Health Center Inc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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