Provider Demographics
NPI:1942371307
Name:KALI, KIMBERLEE A (LCSW/LISW)
Entity type:Individual
Prefix:MS
First Name:KIMBERLEE
Middle Name:A
Last Name:KALI
Suffix:
Gender:F
Credentials:LCSW/LISW
Other - Prefix:MS
Other - First Name:KIM
Other - Middle Name:A
Other - Last Name:KLUESNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW/LISW
Mailing Address - Street 1:800 4TH AVE UNIT 5117
Mailing Address - Street 2:
Mailing Address - City:GRINNELL
Mailing Address - State:IA
Mailing Address - Zip Code:50112-2041
Mailing Address - Country:US
Mailing Address - Phone:785-410-5347
Mailing Address - Fax:877-836-1290
Practice Address - Street 1:800 4TH AVE UNIT 5117
Practice Address - Street 2:
Practice Address - City:GRINNELL
Practice Address - State:IA
Practice Address - Zip Code:50112-2041
Practice Address - Country:US
Practice Address - Phone:785-410-5347
Practice Address - Fax:877-836-1290
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0116381041C0700X
IA068121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL149.011638OtherLICENSED CLINICAL SW
IA06812OtherLICENSED INDEPENDENT SW
IL149.011638OtherLICENSED CLINICAL SW