Provider Demographics
NPI:1487663704
Name:KINSINGER, JO (LISW)
Entity Type:Individual
Prefix:
First Name:JO
Middle Name:
Last Name:KINSINGER
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 1:6900 UNIVERSITY AVE
Mailing Address - Street 2:SUITE 135
Mailing Address - City:WINDSOR HEIGHTS
Mailing Address - State:IA
Mailing Address - Zip Code:50311-1512
Mailing Address - Country:US
Mailing Address - Phone:515-243-1020
Mailing Address - Fax:515-883-1946
Practice Address - Street 1:6900 UNIVERSITY AVE
Practice Address - Street 2:SUITE 135
Practice Address - City:WINDSOR HEIGHTS
Practice Address - State:IA
Practice Address - Zip Code:50311-1512
Practice Address - Country:US
Practice Address - Phone:515-243-1020
Practice Address - Fax:515-883-1946
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2024-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06524104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA107314000OtherMBC OF IOWA