Provider Demographics
NPI:1154918449
Name:HOWELL, KAITLYN (LCSW, LISW)
Entity type:Individual
Prefix:MRS
First Name:KAITLYN
Middle Name:
Last Name:HOWELL
Suffix:
Gender:F
Credentials:LCSW, LISW
Other - Prefix:
Other - First Name:KAITLYN
Other - Middle Name:
Other - Last Name:MCMAHON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, LISW
Mailing Address - Street 1:950 OFFICE PARK RD STE 202
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-2548
Mailing Address - Country:US
Mailing Address - Phone:515-650-1632
Mailing Address - Fax:
Practice Address - Street 1:950 OFFICE PARK RD STE 202
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-2548
Practice Address - Country:US
Practice Address - Phone:515-650-1632
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-21
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0184611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical