KELLI JEAN SMITH (LISW) – Clinical Social Worker, NPI 1104266014

Clinical Social Worker

KELLI JEAN SMITH (LISW) is a healthcare provider. based in Waterloo, Iowa. specializing in Clinical Social Worker. They hold the professional credentials LISW. They hold a License No. 007960 (IA). The NPI Number for KELLI JEAN SMITH (LISW) is 1104266014

Main info

Female

Sole Proprietor

14 Years Of Experience

Accepts Medicare Assignment

Name

KELLI JEAN SMITH (LISW)

NPI

1104266014

Phone

(319) 234-2893

Address

3251 W 9TH ST

Enumeration Date

25 June 2013

Last Update Date

17 July 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

3192342893

Graduation Year

2012 (14 years ago)

PAC ID

0749574713

Group Practice PAC ID

1850280363

Professional Enrollment ID

I20160815000711

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience48

Completeness85

Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for KELLI JEAN SMITH (LISW)

3251 W 9TH ST
WATERLOO, IA 507025310
Phone: (319) 234-2893
Fax: (319) 234-0354
Type: Mailing
128 Plaza Cir
Waterloo, IA 507015139
Phone: (319) 774-3081
Fax: (319) 234-0354
Type: Location
128 PLAZA CIR
WATERLOO, IA 507015139
Phone: (193) 774-3081
Fax: (319) 435-4155
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 1850280363View full group profile

Name	Specialty	State
EMMA REDINGTON (LMSW)	Clinical Social Worker	IA
MELISSA SUE ADAMS (LMSW)	-	IA
MRS. ABBY IRENE KOLTHOFF (ARNP)	Nurse Practitioner	IA
DONNA RAE DOBSON-TOBIN (NP, APRN)	Nurse Practitioner	MT
NICOLE DELAGARDELLE (ARNP)	Nurse Practitioner	IA
KAYLA LYNN LEYH	Nurse Practitioner	IA
JOANNA ANDERSON (PMHNP)	Nurse Practitioner	IA
DR. MANRAJ PADDA (MD)	P S Y C H I A T R Y	NC
MS. PATRICIA ANN NELSON (LISW)	Clinical Social Worker	IA
MOHAMMAD A AFRIDI (MD)	-	IA

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Frequently asked questions

How do I look up KELLI JEAN SMITH (LISW) by NPI?

Use NPI 1104266014 when you need to reference KELLI JEAN SMITH (LISW) in forms, claims, or directories.

Is KELLI JEAN SMITH (LISW)'s NPI currently valid?

The extract we use shows KELLI JEAN SMITH (LISW) as active.

What does KELLI JEAN SMITH (LISW) treat or focus on?

Patients typically see KELLI JEAN SMITH (LISW) under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.

What location shows for KELLI JEAN SMITH (LISW)?

We surface Waterloo, Iowa for KELLI JEAN SMITH (LISW) based on available NPPES addresses.

Is this NPI for an individual or an organization?

This listing corresponds to an Individual Provider.