Individual provider Active NPI

Kendal Ann Parette, LCSW

  • Social Worker
  • Minneapolis, MN
National Provider Identifier
1255841573
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
31175 Issued in MN
Practice address
2301 Central Ave NE
Minneapolis, MN 55418-3709
Phone
(612) 588-9411
Fax
(612) 781-3837
NPI assigned
Oct 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 31175 MN Primary

Addresses

Primary practice location

2301 Central Ave NE
Minneapolis, MN 55418-3709

Mailing address

2301 Central Ave NE
Minneapolis, MN 55418-3709
Phone (612) 588-9411

Other practice location 1

5417 S Marion Pl
Tulsa, OK 74135-3856
Phone (918) 308-1961

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
I20220811000700 MN Practitioner - Clinical Social Worker 0244651396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Oklahoma College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood HealthsourceGroup PAC ID 9133199953, 16 clinicians

Practice addresses (Care Compare)

2301 Central Ave NE
Minneapolis, MN 55418-3709

2301 Central Neave
Minneapolis, MN 55418-3709
Phone (612) 588-9411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31175MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Healthsource CurrentSince Jun 29, 2022 Accepting new patients
Neighborhood Healthsource CurrentSince Jun 29, 2022 Accepting new patients
Marigold Therapy, LLC CurrentSince Jul 9, 2025 Accepting new patients

Locations

3300 Fremont Ave N
Minneapolis, MN 55412
Phone (612) 588-9411

2301 Central Ave NE
Minneapolis, MN 55418
Phone (612) 588-9411

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1255841573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CENTRAL AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183709",
            "telephone_number": "612-588-9411",
            "fax_number": "612-781-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 CENTRAL AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183709",
            "telephone_number": "612-588-9411",
            "fax_number": "612-781-3837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5417 S Marion Pl",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741353856",
            "country_code": "US",
            "telephone_number": "918-308-1961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARETTE",
        "first_name": "KENDAL",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "31175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.