IndividualActive
Alexis Lively
NPI 1114694650 · Clinical Social Worker · Des Moines, IA
Provider details
- NPI number
- 1114694650
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 107340 (IA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
808 5th Ave
Des Moines, IA 50309-1307
Phone: (515) 244-2267
Approximate (ZIP-level) locationGet directions
Mailing address
808 5th Ave
Des Moines, IA 50309-1307
Registry dates
- Enumerated
- 2021-08-24
- Last updated
- 2021-08-24
- Certified
- 2021-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.