Active NPI
Katherine Terese Boisen Macdonald, LICSW
- Clinical Social Worker
- Rochester, MN
National Provider Identifier
1124368642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 20720
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20720 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hygge Counseling and Wellness LLC | Clinical | Current | 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.
-
- Clinical Social Worker
- Belle Plaine, MN
- NPI 1912747148
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.