Kara Jeane Pederson, LGSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3535 40TH Ave NW Ste 210
Rochester, MN 55901-1768

Phone

(507) 516-0227

NPI assigned

Feb 20, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kara Jeane Kuchenbecker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: karapederson@tdh.allscriptsdirect.net

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.

• Nystrom & Associates, LTD

  • Clinical Social Worker
  • New Brighton, MN
  • NPI 1396750188
  NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD
• Abc Child & Family Therapy Center

  • Clinical Social Worker
  • Rochester, MN
  • NPI 1255508537
  NPD (past)

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1083006589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 40TH AVE NW STE 210",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011768",
            "telephone_number": "507-516-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 40TH AVE NW STE 210",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011768",
            "telephone_number": "507-516-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSON",
        "first_name": "KARA",
        "middle_name": "JEANE",
        "name_prefix": "Mrs.",
        "credential": "LGSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-20",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "KUCHENBECKER",
            "middle_name": "JEANE",
            "credential": "LGSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thais Ribeiro Peclat Da Silva, MD PHD
• Jessica Lynn Pedersen, OTD, OTR/L
• Katrina Sophia Pedersen, MD
• Alan J Pederson, OT
• Gabriella Pederson
• Robin M Pederson, LICSW
• Abraham Peedicayil, MBBS
• Prema P Peethambaram, M.D.
• Nathan Peffley, MD
• Lacey D Pegram-Olson, LADC

• 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 Feb 23, 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.