Provider Demographics
NPI:1417654823
Name:GARRETT, KATHERINE FRANCES (LISW)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:FRANCES
Last Name:GARRETT
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 1:1602 NW ROCKCREST RD
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-6043
Mailing Address - Country:US
Mailing Address - Phone:515-571-5075
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:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA068171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical