Healthcare Provider Details

I. General information

NPI: 1972265676
Provider Name (Legal Business Name): APRIL KIEFER LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2021
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3251 W 9TH ST
WATERLOO IA
50702-5310
US

IV. Provider business mailing address

657 JANE ST
WATERLOO IA
50701-4315
US

V. Phone/Fax

Practice location:
  • Phone: 319-234-2893
  • Fax:
Mailing address:
  • Phone: 319-464-6734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number079286
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: