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Kathy M Khommanyvong, LMSW
Clinical Social Worker in Fort Dodge, Iowa
NPI 1033250402

Kathy M Khommanyvong is a Clinical Social Worker based in Fort Dodge, IA and is specialized in Clinical. Kathy M Khommanyvong practices in Fort Dodge, IA and has the professional credentials of LMSW. The NPI Number for Kathy M Khommanyvong is 1033250402 and holds a License No. 03941 (Iowa).

The current practice location address for Kathy M Khommanyvong is 720 Kenyon Rd, Fort Dodge, IA and can be reached out via phone at 515-955-7171 and via fax at 515-573-7898.

Location: 720 Kenyon Rd, Fort Dodge, IA, 50501-0000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033250402
Provider Name
Kathy M Khommanyvong
Credential
LMSW
Provider Entity Type
Individual
Gender
Female
Address
720 Kenyon Rd, Fort Dodge, IA, 50501-0000
Phone Number
515-955-7171
Fax Number
515-573-7898
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0159608 05 IA
07466 01 IA WELLMARK BC/BS
institution
Provider Business Practice Location Address Details
Address
720 Kenyon Rd
City
Fort Dodge
State
Iowa
Zip
50501-0000
Phone Number
515-955-7171
Fax Number
515-573-7898
person
Provider Business Mailing Address Details
Address
720 Kenyon Rd
City
Fort Dodge
State
Iowa
Zip
50501-0000
Phone Number
515-955-7171
Fax Number
515-573-7898
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
03941 (Iowa)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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