| Ms Kimberlee A Kali, LCSW/LISW | |
|
800 4th Ave Unit 5117, Grinnell, IA 50112-2041 | |
| (785) 410-5347 | |
| (877) 836-1290 |
| Full Name | Ms Kimberlee A Kali |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 800 4th Ave Unit 5117, Grinnell, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942371307 | NPI | - | NPPES |
| 149.011638 | Other | IL | LICENSED CLINICAL SW |
| 06812 | Other | IA | LICENSED INDEPENDENT SW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.011638 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 06812 (Iowa) | Primary |
| Entity Name | Blue Moon Senior Counseling Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841562931 PECOS PAC ID: 7012172893 Enrollment ID: O20120628000431 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kimberlee A Kali, LCSW/LISW 800 4th Ave Unit 5117, Grinnell, IA 50112-2041 Ph: (785) 410-5347 | Ms Kimberlee A Kali, LCSW/LISW 800 4th Ave Unit 5117, Grinnell, IA 50112-2041 Ph: (785) 410-5347 |
Jenica Arias, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 817 4th Ave, Grinnell, IA 50112 Phone: 641-323-2729 | |
Mrs. Beth Mi Gallegos, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 807 4th, Grinnell, IA 50112 Phone: 641-781-0770 Fax: 626-795-7080 | |
Jacqueline Ann Weydert, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 200 4th Ave W, Grinnell, IA 50112 Phone: 641-236-6137 |