Kathryn A Amundson, PHD, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5852 Issued in MN

Practice address

3006 Allegro Park LN SW
Rochester, MN 55902-4159

Phone

(507) 540-0894

Fax

(507) 281-6852

NPI assigned

Apr 26, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Winona Health Physicians Clinic

  • Family Medicine Physician
  • Winona, MN
  • NPI 1194825653
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1013137728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67807 154TH AVE",
            "city": "WABASHA",
            "state": "MN",
            "postal_code": "559817626",
            "telephone_number": "651-565-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 ALLEGRO PARK LN SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559024159",
            "telephone_number": "507-540-0894",
            "fax_number": "507-281-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMUNDSON",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "credential": "PHD, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "5852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Winona",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "855 Mankato Ave",
            "city": "Winona",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559874868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly K Amrami, M.D.
• Paul Stephen Amstutz, MD
• Mary Huff Amundsen, MS, LP
• Adam Wayne Amundson, M.D.
• Alyssa Marie Amundson, PT
• Kelly M Amundson, OT
• Kevin E Amundson, D.D.S., M.S.
• Miranda An, MD
• Charenya Anandan, M. D.
• Nandan S Anavekar, MBBCH

• Clinical Social Worker in Rochester, MN
• Providers in Rochester, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.