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KERI CLARK LISW
NPI 1376624650
Social Worker - Clinical in Johnston, IA

Active since October 17, 2006
6165 NW 86TH ST STE 200, JOHNSTON, IA 50131(515) 316-9720 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 23, 2020, Dec 22, 2015 (2 updates tracked since 2015).

About Keri Clark Lisw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KERI CLARK LISW (NPI 1376624650) is an individual clinical provider in Johnston, Iowa, licensed in Iowa (05867) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1376624650
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKERI CLARKCredential: LISW
Location Address6165 NW 86TH ST STE 200Johnston, IA 50131-2270
Mailing Address6165 Nw 86th StJohnston, IA 50131-2270 · (515) 316-9720
Phone(515) 316-9720
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 23, 20202 updates tracked since enumeration
NPPES CertifiedJuly 23, 2020
✔ NPI 1376624650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IA · 05867
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.
6165 NW 86TH ST STE 200, Johnston, IA 50131
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keri Clark's NPI number?

The NPI number for Keri Clark is 1376624650. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Keri Clark located?

Keri Clark practices at 6165 NW 86th St Ste 200, Johnston, IA 50131. The listed phone number is (515) 316-9720.

What is Keri Clark's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Keri Clark was last updated on July 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.