KIMBERLY DIANNE PETERSON LISW
NPI 1407384233
Social Worker - Clinical in Des Moines, IA

Q: What is Kimberly Peterson's NPI number?

The NPI number for Kimberly Peterson is 1407384233. It was assigned to this individual provider in the NPPES registry on May 24, 2017.

Q: What is Kimberly Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Peterson was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since May 24, 2017PECOS EnrolledAccepts Medicare Assignment

6601 SW 9TH ST, DES MOINES, IA 50315(515) 643-8350(515) 643-5824 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 27, 2024, Oct 25, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Kimberly Dianne Peterson Lisw NPPES

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

KIMBERLY DIANNE PETERSON LISW (NPI 1407384233) is an individual clinical provider in Des Moines, Iowa, licensed in Iowa (06171) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1407384233

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKIMBERLY DIANNE PETERSONCredential: LISW

Location Address6601 SW 9TH STDes Moines, IA 50315-6138

Mailing AddressPo Box 1475Des Moines, IA 50305-1475 · (515) 643-8350 · Fax (515) 643-5824

Phone(515) 643-8350

Fax(515) 643-5824

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateMay 24, 2017

Last NPPES UpdateDecember 27, 20244 updates tracked since enumeration

NPPES CertifiedDecember 27, 2024

✔ NPI 1407384233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IA · 06171

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.

Also ListedSocial WorkerTaxonomy 104100000X · License 06171 (IA)

6601 SW 9TH ST, Des Moines, IA 50315

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Secondary Practice Locations 4

Location 1800 E 1st St Ste 1700Ankeny, IA 50021-2100 · Phone (515) 643-8350 · Fax (515) 643-5824

Location 21301 Center StDes Moines, IA 50309-1004 · Phone (515) 241-0982

Location 31007 S Jefferson WayIndianola, IA 50125-3221 · Phone (515) 961-1154

Location 41525 Grand AveWest Des Moines, IA 50265-3412 · Phone (515) 643-8350 · Fax (515) 643-5824

Other Identifiers 1

Medicaid1982657490IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Dianne Peterson Lisw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769858265

PECOS Enrollment IDI20221025002947

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

68 services11 patients

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

46 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50315 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $52.96 – $161.40

Typical copayment $0.00 (range $13.24 – $40.35)

Most-billed visit code NA

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILIE SUSANNE THOMPSON M.S., LMHC

Counselor (Mental Health)