Kyoko Katayama, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

225 Issued in MN

Practice address

366 Prior Ave N
Suite 202
Saint Paul, MN 55104-5165

Phone

(651) 644-2397

Fax

(651) 644-5064

NPI assigned

Oct 16, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1417037458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1474 BRANSTON ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081434",
            "telephone_number": "651-644-1298",
            "fax_number": "651-644-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 PRIOR AVE N",
            "address_2": "SUITE 202",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045165",
            "telephone_number": "651-644-2397",
            "fax_number": "651-644-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATAYAMA",
        "first_name": "KYOKO",
        "name_prefix": "Dr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed Jeilani Kassim, MD
• Sahra Kassim
• Conner Allen Kassler Sr.
• Jan Elaine Kaste, CNP
• Hanan Katabay
• Kate M Hathaway, PHD, LP, Inc
• Kate Robinson, PSYD, LP LLC
• Charles Edward Kath, DDS
• Kathrine Brathen Psychology, LLC
• Jenna R Katorski, RN CNP

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.