Provider Demographics
NPI:1710626270
Name:GAINEY, KALEIGHA (LISW)
Entity type:Individual
Prefix:
First Name:KALEIGHA
Middle Name:
Last Name:GAINEY
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 N ANKENY BLVD STE 130
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-1749
Mailing Address - Country:US
Mailing Address - Phone:515-436-4611
Mailing Address - Fax:515-220-7091
Practice Address - Street 1:213 N ANKENY BLVD STE 130
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-1749
Practice Address - Country:US
Practice Address - Phone:515-436-4611
Practice Address - Fax:515-220-7091
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-02
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA113360104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker