Provider Demographics
NPI:1285177469
Name:KLOEWER, JOAN MARIE (LBSW)
Entity type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:MARIE
Last Name:KLOEWER
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:MISS
Other - First Name:JOAN
Other - Middle Name:MARIE
Other - Last Name:WELLMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LBSW
Mailing Address - Street 1:1303 GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:HARLAN
Mailing Address - State:IA
Mailing Address - Zip Code:51537-2063
Mailing Address - Country:US
Mailing Address - Phone:712-304-5740
Mailing Address - Fax:712-755-7145
Practice Address - Street 1:1303 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:HARLAN
Practice Address - State:IA
Practice Address - Zip Code:51537-2063
Practice Address - Country:US
Practice Address - Phone:712-304-5740
Practice Address - Fax:712-755-7145
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-21
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA050951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical