Individual provider Active NPI

Katarina Barrett-Krzmarzick, MSW, LICSW

  • Clinical Social Worker
  • Mankato, MN
National Provider Identifier
1275173445
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24108 Issued in MN
Practice address
201 N Broad St Ste 308
Mankato, MN 56001-3569
Phone
(507) 345-4448
NPI assigned
Jan 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 24108 MN Primary

Addresses

Primary practice location

201 N Broad St Ste 308
Mankato, MN 56001-3569

Mailing address

1306 Marshall St
Saint Peter, MN 56082-4500

Other names 1

  • Ms. Katarina Barrett Professional name

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
I20200422001670 MN Practitioner - Clinical Social Worker 3577993146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Collaborative of MankatoGroup PAC ID 4688018138, 6 clinicians

Practice addresses (Care Compare)

3 Civic Ctr PLZ
Suite 300
Mankato, MN 56001-7790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24108MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mankato Mental Health Associates, PA CurrentSince Jan 23, 2023 Accepting new patients
Mental Health Collaborative of Mankato Clinical CurrentSince Mar 1, 2024 Accepting new patients

Locations

3 Civic Center Plz
Ste 300
Mankato, MN 56001
Phone (507) 901-1033

1101 N Riverfront Dr
Mankato, MN 56001
Phone (507) 837-0429

201 N Broad St
Ste 308
Mankato, MN 56001
Phone (507) 345-4448

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1275173445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 MARSHALL ST",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560824500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N BROAD ST STE 308",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013569",
            "telephone_number": "507-345-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT-KRZMARZICK",
        "first_name": "KATARINA",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "24108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATARINA",
            "last_name": "BARRETT",
            "prefix": "MS.",
            "credential": "MSW, LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.