Individual provider Active NPI

Katie Rose Krueger, LCSW, LICSW

  • Clinical Social Worker
  • Bismarck, ND
National Provider Identifier
1043659709
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5865 Issued in ND
Practice address
1303 E Central Ave
Bismarck, ND 58501-2066
Phone
(701) 471-7092
Fax
(701) 401-0267
NPI assigned
Jun 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34714 MN
Clinical Social Worker 1041C0700X 5865 ND Primary

Addresses

Primary practice location

1303 E Central Ave
Bismarck, ND 58501-2066

Mailing address

1303 E Central Ave
Bismarck, ND 58501-2066
Phone (701) 471-7092

Other practice location 1

815 37th Ave S Ste 200
Moorhead, MN 56560-5524
Phone (701) 471-7092

Other names 1

  • Katie Rose Krebsbach Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220805001745 ND Practitioner - Clinical Social Worker 8921480096 Reassigns benefits to 1 organization
I20250625002685 MN Practitioner - Clinical Social Worker 8921480096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

815 37TH Ave S
Suite 200
Moorhead, MN 56560-5524
Phone (701) 471-7092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34714MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Counseling PLLC Clinical CurrentSince Jun 22, 2022 Accepting new patients
Abound Counseling LLC Mental Health PastSince Feb 1, 2020 Accepting new patients
Lutheran Social Services of ND PastSince Feb 1, 2020 Accepting new patients

Locations

815 37th Ave S
#200
Moorhead, MN 56560
Phone (701) 471-7092

1605 E Capitol Ave
Ste 100
Bismarck, ND 58501
Phone (701) 471-7092

1303 E Central Ave
Bismarck, ND 58501
Phone (701) 222-3175

1906 E Broadway Ave
Ste 2
Bismarck, ND 58501
Phone (701) 659-9256

6046 14th St S
Fargo, ND 58104
Phone (701) 471-7092

Organizations & group practices 3

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": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1043659709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 E CENTRAL AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585012066",
            "telephone_number": "701-471-7092",
            "fax_number": "701-401-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 E CENTRAL AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585012066",
            "telephone_number": "701-471-7092",
            "fax_number": "701-401-0267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 37th Ave S Ste 200",
            "address_purpose": "LOCATION",
            "city": "Moorhead",
            "state": "MN",
            "postal_code": "565605524",
            "country_code": "US",
            "telephone_number": "701-471-7092",
            "fax_number": "701-401-0267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "KATIE",
        "middle_name": "ROSE",
        "credential": "LCSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "34714",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "5865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "KREBSBACH",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.