Individual provider Active NPI

Kaylyn Ahrendt, LICSW

  • Clinical Social Worker
  • Alexandria, MN
National Provider Identifier
1386200434
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22802 Issued in MN
Practice address
305 30TH Ave W
Alexandria, MN 56308-3429
Phone
(320) 460-8028
NPI assigned
May 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2023

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 22802 MN Primary

Addresses

Primary practice location

305 30TH Ave W
Alexandria, MN 56308-3429

Mailing address

PO Box 54
Eagle Bend, MN 56446-0054
Phone (320) 219-1689

Other practice location 1

132 Main Street East
Eagle Bend, MN 56446
Phone (320) 219-1689

Other practice location 2

20574 US 71
Long Prairie, MN 56347-5063
Phone (320) 219-1689

Other practice location 3

219 Central Avenue
Osakis, MN 56360-5636
Phone (320) 219-1689

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kaylyn.ahrendt@dklmft.com Direct
Direct Messaging Address kaylyn.ahrendt@dklmft.com Direct

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
I20210902002761 MN Practitioner - Clinical Social Worker 3375949126 Practice locations: Eagle Bend, MN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22802MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Danielle Kreemer, LMFT, LLC PastSince Nov 24, 2019 Accepting new patients

Organizations & group practices 1

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": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1386200434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54",
            "city": "EAGLE BEND",
            "state": "MN",
            "postal_code": "564460054",
            "telephone_number": "320-219-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 30TH AVE W",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563083429",
            "telephone_number": "320-460-8028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 Main Street East",
            "address_purpose": "LOCATION",
            "city": "Eagle Bend",
            "state": "MN",
            "postal_code": "56446",
            "country_code": "US",
            "telephone_number": "320-219-1689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20574 US 71",
            "address_purpose": "LOCATION",
            "city": "Long Prairie",
            "state": "MN",
            "postal_code": "563475063",
            "country_code": "US",
            "telephone_number": "320-219-1689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "219 Central Avenue",
            "address_purpose": "LOCATION",
            "city": "Osakis",
            "state": "MN",
            "postal_code": "563605636",
            "country_code": "US",
            "telephone_number": "320-219-1689",
            "fax_number": "320-262-8198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHRENDT",
        "first_name": "KAYLYN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2023-05-04",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaylyn.ahrendt@dklmft.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "20574 US 71",
            "city": "Long Prairie",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563475063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaylyn.ahrendt@dklmft.com",
            "affiliation": "N",
            "endpointDescription": "Encrypted email protected by ZIX",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "219 Central Avenue",
            "city": "Osakis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "56360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

Verify at the official NPI Registry.