MEDICARE: KATHLEEN ELIZABETH SUDDARTH LMSW, MT-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	124501	IA
2	225A00000X	Music Therapist	08517

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	08517	OTHER		CERTIFICATION BOARD OF MUSIC THERAPISTS

General Provider Information

NPI Number	:	1588820070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN ELIZABETH SUDDARTH LMSW, MT-BC

Provider Business Mailing Address
First Line	:	1501 42ND ST STE 445
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-1005
Country	:	US
Telephone Number	:	630-777-1265
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 42ND ST STE 445
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-1005
Country	:	US
Telephone Number	:	630-777-1265
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2008
Last Update Date	:	05/20/2024

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1821969593 — IOWA HAVEN HEALTHCARE LLC
Practice Location Address:

1501 42ND ST STE 147
WEST DES MOINES, IA
50266-1005

Practice Phone: 515-204-1876
Practice Fax:

1598921975 — MINIMED DISTRIBUTION CORP.
Practice Location Address:

1501 42ND ST , STE 350
WEST DES MOINES, IA
50266-1005

Practice Phone: 800-933-3322
Practice Fax: 804-550-2796

1578858411 — MS. ASHLEY ELIZABETH MORI LMHC, MA, CADC
Practice Location Address:

1501 42ND ST STE 445
WEST DES MOINES, IA
50266-1005

Practice Phone: 515-505-3878
Practice Fax: 515-643-6598

1255679643 — REBECCA M WILLIAMS
Practice Location Address:

1501 42ND ST STE 445
WEST DES MOINES, IA
50266-1005

Practice Phone: 515-400-7845
Practice Fax:

1811323553 — JESSICA LEIGH VOLK MS, LMHC, CADC, NCC
Practice Location Address:

1501 42ND ST , STE 210
WEST DES MOINES, IA
50266-1005

Practice Phone: 515-778-6081
Practice Fax:

Directions to “ KATHLEEN ELIZABETH SUDDARTH LMSW, MT-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.