Provider Demographics
NPI:1225842982
Name:PARRIS, KAYLEE RAE (LMSW)
Entity type:Individual
Prefix:
First Name:KAYLEE
Middle Name:RAE
Last Name:PARRIS
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 SE FLORENCE DR UNIT 10
Mailing Address - Street 2:
Mailing Address - City:WAUKEE
Mailing Address - State:IA
Mailing Address - Zip Code:50263-8323
Mailing Address - Country:US
Mailing Address - Phone:641-529-2919
Mailing Address - Fax:
Practice Address - Street 1:1212 E MCKINLEY AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50315-4362
Practice Address - Country:US
Practice Address - Phone:515-346-9215
Practice Address - Fax:515-282-8139
Is Sole Proprietor?:No
Enumeration Date:2025-02-04
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA121230104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker