Provider Demographics
NPI:1326895442
Name:IOSBAKER, LAURA ANN (LISW)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ANN
Last Name:IOSBAKER
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 1:190 AUTUMN CT
Mailing Address - Street 2:
Mailing Address - City:NORTH LIBERTY
Mailing Address - State:IA
Mailing Address - Zip Code:52317-8709
Mailing Address - Country:US
Mailing Address - Phone:563-357-4338
Mailing Address - Fax:
Practice Address - Street 1:500 LOCUST ST STE 126
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1955
Practice Address - Country:US
Practice Address - Phone:515-805-0956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-06
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0079961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical