Kylie Deere, LICSW; LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28929 Issued in MN

Practice address

3001A 32ND Ave S Ste 3a
Grand Forks, ND 58201-6067

Phone

(701) 757-0743

NPI assigned

May 26, 2023

Last updated

Apr 28, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Deere Wellness LLC

  • Clinical Social Worker
  • Grand Forks, ND
  • NPI 1174474506
  NPD Authorized official
• Amber Waves Therapy PLLC

  • Clinical Social Worker
  • Grand Forks, ND
  • NPI 1962127555
  NPD

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1447943485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001A 32ND AVE S STE 3A",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016067",
            "telephone_number": "701-757-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001A 32ND AVE S STE 3A",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016067",
            "telephone_number": "701-757-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEERE",
        "first_name": "KYLIE",
        "credential": "LICSW; LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "6701",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Decoteau
• Melissa Marie Decoteau
• Deep Roots Healing, PLLC
• Deere Wellness LLC
• Joshua Richard Deere, MD
• Kyler Delancey
• Vanessa Delgado-Ramirez, LCSW
• Kelsey Sue Delisle
• Joel D Deloy, PH.D.
• Julie S Demars, OTR/L

• Clinical Social Worker in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.