Healthcare Provider Details

I. General information

NPI: 1720919236
Provider Name (Legal Business Name): KRISTIN BRIANNE HUYSER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 S ANKENY BLVD
ANKENY IA
50023-9417
US

IV. Provider business mailing address

930 W 18TH ST S
NEWTON IA
50208-3500
US

V. Phone/Fax

Practice location:
  • Phone: 515-989-8266
  • Fax:
Mailing address:
  • Phone: 515-989-8266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number135833
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: