Organization Active NPI

Kaitlin Deckard LLC

  • Social Worker
  • Minneapolis, MN
National Provider Identifier
1023969839
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
KAITLIN DECKARD LLC
Practice address
330 2ND Ave S Ste 2001700
Minneapolis, MN 55401-5500
Phone
(507) 405-5603
NPI assigned
Feb 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Authorized official

Name
Kaitlin Deckard, LICSWNPI 1144171950
Title
Owner
Phone
(507) 405-5603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

330 2ND Ave S Ste 2001700
Minneapolis, MN 55401-5500

Mailing address

330 2ND Ave S Ste 2001700
Minneapolis, MN 55401-5500
Phone (507) 405-5603

National Provider Directory

National Provider Directory

Locations

330 2nd Ave S
Ste 2001700
Minneapolis, MN 55401
Phone (507) 405-5603

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1770336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1023969839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 2ND AVE S STE 2001700",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554015500",
            "telephone_number": "507-405-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 2ND AVE S STE 2001700",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554015500",
            "telephone_number": "507-405-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAITLIN DECKARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "DECKARD",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-405-5603",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.