Kimberly A Poitra, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16993 Issued in MN

Practice address

1818 Wooddale Dr Ste 110
Woodbury, MN 55125-2947

Phone

(651) 370-8343

Fax

(888) 976-5851

NPI assigned

Jul 30, 2008

Last updated

Nov 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15600/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reflections Counseling PC

  dba Changes Counseling and Wellness Center

  • Clinical Social Worker
  • Woodbury, MN
  • NPI 1346665981
  Medicare reassignment NPD Authorized official
• Family Connections Counseling Center LLC

  dba Family Connections

  • Community/Behavioral Health Agency
  • Minnetonka, MN
  • NPI 1811228133
  NPD (past)

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763856000000",
    "number": "1205092277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 WOODDALE DR STE 110",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252947",
            "telephone_number": "651-370-8343",
            "fax_number": "888-976-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 WOODDALE DR STE 110",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252947",
            "telephone_number": "651-370-8343",
            "fax_number": "888-976-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POITRA",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2025-11-23",
        "certification_date": "2025-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madisyn Plumhoff, CF-SLP
• Katherine Anne Podgorski, MD
• Scott K Podratz, PA-C
• Poeschel Chiropractic PSC
• Scott William Poeschel, DC
• Kristina Pokharel
• Anthony John Polcari, M.D.
• David Pontius, PA-C
• Michelle A Poore, LIC SW
• Denton Wilson Porter Jr., PHARMD

• Clinical Social Worker in Woodbury, MN
• Providers in Woodbury, 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 Nov 23, 2025; 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.

Verify at the official NPI Registry.