Individual provider Active NPI

Katherine Terese Boisen Macdonald, LICSW

  • Clinical Social Worker
  • Rochester, MN
National Provider Identifier
1124368642
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20720 Issued in MN
Practice address
1811 Greenview PL SW
Rochester, MN 55902-1002
Phone
(320) 293-2720
NPI assigned
Feb 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20720 MN Primary

Addresses

Primary practice location

1811 Greenview PL SW
Rochester, MN 55902-1002

Mailing address

516 28TH St NW
Rochester, MN 55901-2370
Phone (320) 293-2720

Other practice location 1

610 Florence Ave
Owatonna, MN 55060-4704
Phone (507) 451-2630

Other practice location 2

420 E Sarnia St Ste 2100
Winona, MN 55987-6414
Phone (507) 454-4341

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address messagec@direct.schrc.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250613003226 MN Practitioner - Clinical Social Worker 0547481459 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20720MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hygge Counseling and Wellness LLC Clinical CurrentSince May 2, 2025 Accepting new patients

Locations

111 S Meridian St
Belle Plaine, MN 56011
Phone (763) 327-3897

Organizations & group practices 1

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": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1124368642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 28TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012370",
            "telephone_number": "320-293-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 GREENVIEW PL SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559021002",
            "telephone_number": "320-293-2720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Florence Ave",
            "address_purpose": "LOCATION",
            "city": "Owatonna",
            "state": "MN",
            "postal_code": "550604704",
            "country_code": "US",
            "telephone_number": "507-451-2630",
            "fax_number": "507-455-8133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 E Sarnia St Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Winona",
            "state": "MN",
            "postal_code": "559876414",
            "country_code": "US",
            "telephone_number": "507-454-4341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "KATHERINE",
        "middle_name": "TERESE BOISEN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-20",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "messagec@direct.schrc.com",
            "affiliation": "N",
            "address_1": "610 Florence Ave",
            "city": "Owatonna",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550604704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.