Provider Demographics
NPI:1508140039
Name:DEARCHS, KATHY ANN (LISW)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:ANN
Last Name:DEARCHS
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:KATHY
Other - Middle Name:ANN
Other - Last Name:THILGES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:1515 S PHILLIPS ST
Mailing Address - Street 2:
Mailing Address - City:ALGONA
Mailing Address - State:IA
Mailing Address - Zip Code:50511-3649
Mailing Address - Country:US
Mailing Address - Phone:515-295-4430
Mailing Address - Fax:515-295-5256
Practice Address - Street 1:1515 S PHILLIPS ST
Practice Address - Street 2:
Practice Address - City:ALGONA
Practice Address - State:IA
Practice Address - Zip Code:50511-3649
Practice Address - Country:US
Practice Address - Phone:515-295-4430
Practice Address - Fax:515-295-5256
Is Sole Proprietor?:No
Enumeration Date:2011-10-03
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS82031041C0700X
IA0079501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical