Active NPI
Kelly Harding
- Clinical Social Worker
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 23038
- Practice address
- 4344 Nicollet Ave
Minneapolis, MN 55409-2033 - Phone
- (612) 284-4291
- NPI assigned
- Mar 31, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 23038 | MN | Primary |
Addresses
Primary practice location
4344 Nicollet Ave
Minneapolis, MN 55409-2033
Mailing address
4500 Park Glen Rd Ste 155
Saint Louis Park, MN 55416-4888
Phone (612) 284-4291
Other practice location 1
3252 Bryant Ave S
Minneapolis, MN 55408-3607
Phone (612) 284-4291
Other practice location 2
3432 Lyndale Ave S
Minneapolis, MN 55408-4151
Phone (612) 284-4291
Other practice location 3
4500 Park Glen Rd Ste 155
Saint Louis Park, MN 55416-4888
Phone (612) 284-4291
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23038 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashlee Secord | Current | Accepting new patients | |
| Cedar Hill Therapy, LLC | Clinical | Past | Accepting new patients |
Locations
11990 Portland Ave
Burnsville, MN 55337
Phone (612) 439-1100
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1033912563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 PARK GLEN RD STE 155",
"city": "SAINT LOUIS PARK",
"state": "MN",
"postal_code": "554164888",
"telephone_number": "612-284-4291",
"fax_number": "888-975-8939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4344 NICOLLET AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554092033",
"telephone_number": "612-284-4291"
}
],
"practiceLocations": [
{
"address_1": "3252 Bryant Ave S",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554083607",
"country_code": "US",
"telephone_number": "612-284-4291",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3432 Lyndale Ave S",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554084151",
"country_code": "US",
"telephone_number": "612-284-4291",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4500 Park Glen Rd Ste 155",
"address_purpose": "LOCATION",
"city": "Saint Louis Park",
"state": "MN",
"postal_code": "554164888",
"country_code": "US",
"telephone_number": "612-284-4291",
"fax_number": "888-975-8939",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARDING",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-31",
"last_updated": "2025-03-31",
"certification_date": "2025-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "23038",
"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 Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.