Provider Demographics
NPI:1629818992
Name:STIMSON, JENNIFER S (LMSW)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:S
Last Name:STIMSON
Suffix:
Gender:F
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:PO BOX 71263
Mailing Address - Street 2:
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-0263
Mailing Address - Country:US
Mailing Address - Phone:515-205-6752
Mailing Address - Fax:
Practice Address - Street 1:1400 WALNUT ST STE 103
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1238
Practice Address - Country:US
Practice Address - Phone:515-333-1789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-25
Last Update Date:2024-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA124490104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker