Healthcare Provider Details

I. General information

NPI: 1508435231
Provider Name (Legal Business Name): CINDY HUERTA LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2021
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2353 SE 14TH ST
DES MOINES IA
50320-1109
US

IV. Provider business mailing address

1200 UNIVERSITY AVE STE 200
DES MOINES IA
50314-2355
US

V. Phone/Fax

Practice location:
  • Phone: 515-248-1400
  • Fax: 515-248-1414
Mailing address:
  • Phone: 515-248-1447
  • Fax: 515-248-1440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number107410
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: