Kathryn Lagrave Reaney, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21316 Issued in MN

Practice address

5050 Lincoln Dr Ste 350
Edina, MN 55436

Phone

(612) 767-4858

Fax

(612) 871-1505

NPI assigned

Dec 31, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cait Sidhe Counseling

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1174378533
  NPD Authorized official
• Washburn Center for Children

  • Adolescent and Children Mental Health Clinic/Center
  • Minneapolis, MN
  • NPI 1225136419
  NPD (past)

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

{
    "created_epoch": "1514678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1194232033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 GLENWOOD AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554051430",
            "telephone_number": "612-767-4858",
            "fax_number": "612-871-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 LINCOLN DR STE 350",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55436",
            "telephone_number": "612-767-4858",
            "fax_number": "612-871-1505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Glenwood Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554051430",
            "country_code": "US",
            "telephone_number": "612-767-4858",
            "fax_number": "612-871-1505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5050 Lincoln Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "55436",
            "country_code": "US",
            "telephone_number": "612-767-4858",
            "fax_number": "612-871-1505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REANEY",
        "first_name": "KATHRYN",
        "middle_name": "LAGRAVE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-31",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "21316",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "21316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James D Raymond, DDS
• Ahmad Raza, MD
• Rdlive Inc
• Nathan Buth Reader, MD
• Brianna Reak, LPCC
• Megan Reaney, PA
• Kevin Rebman, CMT
• Mark Wesley Reckson, M.D.
• Reconnect Counseling LLC
• Recover Health of Minnesota, Inc.

• Clinical Social Worker in Edina, MN
• Providers in Edina, 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 May 21, 2019; 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.