Active NPI
Martha Ann Kobberdahl Bather
- School Social Worker
- Minneapolis, MN
National Provider Identifier
1285582098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 20977
- Practice address
- 252 Upton Ave S
Minneapolis, MN 55405-1947 - Phone
- (612) 668-2500
- NPI assigned
- Mar 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 20977 | MN | Primary |
Addresses
Primary practice location
252 Upton Ave S
Minneapolis, MN 55405-1947
Mailing address
252 Upton Ave S
Minneapolis, MN 55405-1947
Phone (612) 668-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20977 | MN | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1285582098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 UPTON AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554051947",
"telephone_number": "612-668-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 UPTON AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554051947",
"telephone_number": "612-668-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATHER",
"first_name": "MARTHA",
"middle_name": "ANN KOBBERDAHL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-18",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MN",
"license": "20977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.