Provider Demographics
NPI:1225595051
Name:KESTER, TORI M (LISW)
Entity Type:Individual
Prefix:MRS
First Name:TORI
Middle Name:M
Last Name:KESTER
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 1:3305 NW AMHERST LN APT 201
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-0022
Mailing Address - Country:US
Mailing Address - Phone:563-542-5056
Mailing Address - Fax:
Practice Address - Street 1:1223 CENTER ST STE 17
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1016
Practice Address - Country:US
Practice Address - Phone:515-699-5999
Practice Address - Fax:515-288-3945
Is Sole Proprietor?:No
Enumeration Date:2019-02-28
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0911491041C0700X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA091149OtherLICENSE
IA091149OtherLICENSE INDEPENDENT SOCIAL WORKER