Active NPI
Karie Kay Kroon
- Clinical Social Worker
- Duluth, MN
National Provider Identifier
1366853442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19849
- Practice address
- 1420 London Rd Ste 204
Duluth, MN 55805-2422 - Phone
- (218) 393-5407
- Fax
- (218) 461-3666
- NPI assigned
- May 12, 2014
- Last updated
- Sep 14, 2018
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 19849 | MN | Primary |
Addresses
Primary practice location
1420 London Rd Ste 204
Duluth, MN 55805-2422
Mailing address
1420 London Rd Ste 204
Duluth, MN 55805-2422
Phone (218) 393-5407
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19849 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1366853442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 LONDON RD STE 204",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052422",
"telephone_number": "218-393-5407",
"fax_number": "218-461-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 LONDON RD STE 204",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052422",
"telephone_number": "218-393-5407",
"fax_number": "218-461-3666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROON",
"first_name": "KARIE",
"middle_name": "KAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-12",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "19849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.