Kathy M Khommanyvong, LMSW - Clinical Social Worker in Fort Dodge, IA

Kathy M Khommanyvong, LMSW is a Social Worker - Clinical based in Fort Dodge, Iowa. Kathy M Khommanyvong is licensed to practice in Iowa (license number 03941) and her current practice location is 720 Kenyon Rd, North Central Iowa Mhc Dba Berryhill Center For Mental, Fort Dodge, Iowa. She can be reached at her office (for appointments etc.) via phone at (515) 955-7171.

NPI number for Kathy M Khommanyvong is 1033250402 and her current mailing address is 720 Kenyon Rd, North Central Iowa Mhc Dba Berryhill Center For Mental, Fort Dodge, Iowa. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033250402.

Contact Information

Kathy M Khommanyvong, LMSW
720 Kenyon Rd, North Central Iowa Mhc Dba Berryhill Center For Mental,
Fort Dodge, IA 50501-0000
(515) 955-7171
(515) 573-7898



Healthcare Provider's Profile

Full NameKathy M Khommanyvong
GenderFemale
SpecialitySocial Worker - Clinical
Location720 Kenyon Rd, Fort Dodge, Iowa
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033250402
  • Provider Enumeration Date: 02/09/2007
  • Last Update Date: 02/09/2009

Medical Identifiers

Medical identifiers for Kathy M Khommanyvong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033250402NPI-NPPES
0159608MedicaidIA
07466OtherIAWELLMARK BC/BS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 03941 (Iowa)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathy M Khommanyvong is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathy M Khommanyvong, LMSW
720 Kenyon Rd, North Central Iowa Mhc Dba Berryhill Center For Mental,
Fort Dodge, IA 50501-0000

Ph: (515) 955-7171
Kathy M Khommanyvong, LMSW
720 Kenyon Rd, North Central Iowa Mhc Dba Berryhill Center For Mental,
Fort Dodge, IA 50501-0000

Ph: (515) 955-7171

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› Verified 7 days ago


Social Worker in Fort Dodge, IA

Tammy Sue Varland, MSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1200 3rd Ave Nw, Suite 1, Fort Dodge, IA 50501
Phone: 515-576-4156    
Ms. Barbara Ann Lind, L.I.S.W.
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1605 1st Ave N, Ste 3, Fort Dodge, IA 50501
Phone: 319-277-7218    Fax: 888-501-1525
Mrs. Lori J Ohrt, LISW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 720 Kenyon Rd, North Central Iowa Mental Health Center Inc Dba Unitypo, Fort Dodge, IA 50501
Phone: 515-955-7171    Fax: 515-573-7898
Mrs. Tabitha Lynn Acree, LISW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 300 S 25th St, Fort Dodge, IA 50501
Phone: 515-408-0416    Fax: 515-955-8593
Denise Ann Mcduffey-bauer,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 805 Central Ave Ste 300, Fort Dodge, IA 50501
Phone: 806-570-4882    
Mrs. Leann M Rider-hildreth, LISW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: Genesis Mental Health Assoc, 1218 Central Ave, Fort Dodge, IA 50501
Phone: 514-571-4422    Fax: 515-576-6441

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