Active NPI
Kaitlin Deckard LLC
- Social Worker
- Minneapolis, MN
National Provider Identifier
1023969839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kaitlin Deckard, LICSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 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 DirectoryLocations
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.