Healthcare Provider Details

I. General information

NPI: 1316179310
Provider Name (Legal Business Name): AMY C KUEHL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2009
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 5TH ST STE 201
AMES IA
50010-6259
US

IV. Provider business mailing address

208 5TH ST STE 201
AMES IA
50010-6259
US

V. Phone/Fax

Practice location:
  • Phone: 515-520-1896
  • Fax: 515-292-5044
Mailing address:
  • Phone: 515-520-1896
  • Fax: 515-292-5044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number06805
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: