Ka Lo, LICSW
Individual provider Active NPI Clinical Social Worker · Saint Paul, MN
NPI 1235524950 · NPPES record last updated Mar 31, 2015
Key facts
- NPI
- 1235524950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 21203 (MN)
- Practice address
- 451 Lexington Pkwy N
Saint Paul, MN 55104-4636 - Phone
- (651) 280-2310
- Fax
- (651) 280-3995
- NPI assigned
- Mar 31, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Amherst H. Wilder Foundation
Practice addresses (Care Compare)
451 Lexington Pkwy N
Saint Paul, MN 55104-4636
Phone (651) 280-2310
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171128000763 | MN | Practitioner - Clinical Social Worker | 9638436728 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21203 | MN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amherst H. Wilder Foundation | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 21203 | MN | Yes |
Addresses
Primary practice location
451 Lexington Pkwy N
Saint Paul, MN 55104-4636
Mailing address
451 Lexington Pkwy N
Saint Paul, MN 55104-4636
Phone (651) 280-2310
Other providers in Saint Paul, MN
- Kristine H Llena
- James Lloyd
- Richard Lee Lloyd
- Paziong Estelle Lo-Vang
- Cheng Seng Lo
- Kongcheng Lo
- May Xia Lo
- Marina Victoria Lobos Garay
- Hnouchi Patricia Lochungvu
- Mayly Lyfoung Lochungvu
All providers in Saint Paul, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.