Individual provider Active NPI

Allett Katherine Mary Lykins

  • Clinical Social Worker
  • Duluth, MN
National Provider Identifier
1336867290
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25772 Issued in MN
Practice address
4849 Ivanhoe St
Duluth, MN 55804-1131
Phone
(218) 348-2912
NPI assigned
Aug 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 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 25772 MN Primary

Addresses

Primary practice location

4849 Ivanhoe St
Duluth, MN 55804-1131

Mailing address

4000 W 9TH St
Duluth, MN 55807-1563
Phone (218) 348-2912

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
I20230203001009 MN Practitioner - Clinical Social Worker 8820460629 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25722MNMDClinical Social Worker
25772MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nystrom & Associates, LTD Clinical CurrentSince Oct 11, 2022 Accepting new patients
Northwood Children'S Home Society Inc PastSince Aug 28, 2022 Accepting new patients
Northwood Children'S Services, Inc. PastSince Aug 28, 2022 Accepting new patients

Locations

332 W Superior St
Ste 300
Duluth, MN 55802
Phone (218) 481-9408

1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718

Organizations & group practices 4

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": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1336867290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 W 9TH ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558071563",
            "telephone_number": "218-348-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 IVANHOE ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558041131",
            "telephone_number": "218-348-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYKINS",
        "first_name": "ALLETT",
        "middle_name": "KATHERINE MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "25772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.