Provider Demographics
NPI:1700239688
Name:RUMPF, KELSEY (LISW)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:RUMPF
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:
Other - Last Name:RUMPF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LISW
Mailing Address - Street 1:939 OFFICE PARK RD STE 308
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-2538
Mailing Address - Country:US
Mailing Address - Phone:515-979-8922
Mailing Address - Fax:
Practice Address - Street 1:939 OFFICE PARK RD STE 308
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-2538
Practice Address - Country:US
Practice Address - Phone:515-979-8922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-15
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA081820101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health