Healthcare Provider Details

I. General information

NPI: 1396395893
Provider Name (Legal Business Name): EMILY HUSS LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EMILY CLAMAN

II. Dates (important events)

Enumeration Date: 09/17/2019
Last Update Date: 04/05/2026
Certification Date: 04/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2714 ASPEN RD STE 101
AMES IA
50010-4485
US

IV. Provider business mailing address

1957 NE 126TH AVE
ALLEMAN IA
50007-9705
US

V. Phone/Fax

Practice location:
  • Phone: 515-333-1789
  • Fax:
Mailing address:
  • Phone: 515-520-7407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number077586
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: