Kimberly Kay Slette, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10469 Issued in MN

Practice address

151 Saint Andrews CT Ste 710
Mankato, MN 56001-8815

Phone

(507) 386-7121

Fax

(507) 344-0690

NPI assigned

Dec 14, 2011

Last updated

Jul 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1427327899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SAINT ANDREWS CT STE 710",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560018815",
            "telephone_number": "507-386-7121",
            "fax_number": "507-344-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SAINT ANDREWS CT STE 710",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560018815",
            "telephone_number": "507-386-7121",
            "fax_number": "507-344-0690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 S Front Street",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "56001",
            "country_code": "US",
            "telephone_number": "507-386-7121",
            "fax_number": "507-344-0690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLETTE",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-14",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "10469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skinner Family Dentistry, PC (Skinner Family Dentistry)
• Heidi Skophammer
• Theresa R Skrien, ATC
• Heather Slaba
• Amy E Slama, O.D.
• Mary Kathryn Smentek, MD
• Anita Linnea Smith, MS, LPC, NCC
• Carolyn Smith
• Charles Smith
• Jenna Smith

• Clinical Social Worker in Mankato, MN
• Providers in Mankato, 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 Jul 19, 2022; 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.