Healthcare Provider Details

I. General information

NPI: 1477494367
Provider Name (Legal Business Name): MANDY GIDLEY, LISW PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1616 CLAY ST
CEDAR FALLS IA
50613-4008
US

IV. Provider business mailing address

1616 CLAY ST
CEDAR FALLS IA
50613-4008
US

V. Phone/Fax

Practice location:
  • Phone: 319-214-3522
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: AMANDA GIDLEY
Title or Position: CLINICAL SOCIAL WORKER
Credential: LISW
Phone: 319-214-3522