NICOLE KEHOE (LISW) – Social Worker, NPI 1205883303

NICOLE KEHOE (LISW) is a healthcare provider. based in Fort dodge, Iowa. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW. They hold a License No. 03738 (IA). The NPI Number for NICOLE KEHOE (LISW) is 1205883303

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE KEHOE (LISW)
NPI
1205883303
Phone
(515) 573-3138
Address
409 KENYON RD STE C
Enumeration Date
27 May 2006
Last Update Date
3 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5152481600
Graduation Year
2001 (25 years ago)
PAC ID
3577668144
Group Practice PAC ID
8426966755
Professional Enrollment ID
I20070411000029
Address ID
IA503174253DE3509XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

827 CLINICAL SOCIAL WORKER in IA

Provider Addresses for NICOLE KEHOE (LISW)

  • 409 KENYON RD STE C

    FORT DODGE, IA 505015718

    Phone: (515) 573-3138

    Fax: (515) 573-3130

    Type: Mailing

  • 1200 UNIVERSITY AVE STE 200

    DES MOINES, IA 503142355

    Phone: (515) 248-1447

    Fax: (515) 248-1440

    Type: Mailing

  • 3509 E 29TH ST

    DES MOINES, IA 503174253

    Phone: (515) 248-1600

    Fax: (515) 248-1610

    Type: Location

  • Hickman Road, Kirkwood Glen, Des Moines, Polk County, Iowa, 50310, United States

    DES MOINES, IA 503224844

    Phone: (515) 251-4900

    Fax: (515) 573-3130

    Type: Location

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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 50501)

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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: 8426966755View full group profile
NameSpecialtyState
-IA
Nurse PractitionerIA
Clinical Social WorkerPA
-IA
-IA
Family PracticeIA
Nurse PractitionerMN
Emergency Medicine, Family PracticeIA
Physician AssistantIA
Family Practice, Addiction MedicineIA

Reviews

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Frequently asked questions

What NPI should I save for NICOLE KEHOE (LISW)?
Save NPI 1205883303 if you need a stable reference for NICOLE KEHOE (LISW).
Is NICOLE KEHOE (LISW) active in the national directory?
NICOLE KEHOE (LISW)'s public NPI profile is in an active state.
Does NICOLE KEHOE (LISW) list a primary specialty?
If you are matching referrals, note Social Worker for NICOLE KEHOE (LISW). Clinical services aligned with this taxonomy classification.
Where is NICOLE KEHOE (LISW)'s primary listing?
We display Fort Dodge, Iowa because that is what the record indicates for NICOLE KEHOE (LISW).
Is NICOLE KEHOE (LISW) a real provider?
This page reflects official NPPES data for NPI 1205883303. Always confirm identity and privileges with the practice and licensing boards.

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