Active NPI
Katelin Wood
- Social Worker
- Minneapolis, MN
National Provider Identifier
1306639802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 31455
- Practice address
- 1089 10TH Ave SE
Minneapolis, MN 55414-1312 - Phone
- (931) 338-9162
- NPI assigned
- May 27, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 31455 | MN | Primary |
Addresses
Primary practice location
1089 10TH Ave SE
Minneapolis, MN 55414-1312
Mailing address
1089 10TH Ave SE
Minneapolis, MN 55414-1312
Other practice location 1
409 12th Ave N
Hopkins, MN 55343-7209
Phone (931) 338-9162
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 |
|---|---|---|---|
| 31455 | MN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1306639802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1089 10TH AVE SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554141312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1089 10TH AVE SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554141312",
"telephone_number": "931-338-9162"
}
],
"practiceLocations": [
{
"address_1": "409 12th Ave N",
"address_purpose": "LOCATION",
"city": "Hopkins",
"state": "MN",
"postal_code": "553437209",
"country_code": "US",
"telephone_number": "931-338-9162",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOOD",
"first_name": "KATELIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-27",
"last_updated": "2025-05-27",
"certification_date": "2025-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "31455",
"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 May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.