Individual provider Active NPI

Kathleen A Caron, LICSW

  • Social Worker
  • Pine City, MN
National Provider Identifier
1477548022
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2092 Issued in MN
Practice address
220 Railroad St SE
Therapeutic Serevices Agancy Inc
Pine City, MN 55063-1540
Phone
(320) 629-7600
Fax
(320) 629-7900
NPI assigned
Sep 20, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2092 MN Primary

Addresses

Primary practice location

220 Railroad St SE
Therapeutic Serevices Agancy Inc
Pine City, MN 55063-1540

Mailing address

401 Division St S
Ste C
Northfield, MN 55057-2096
Phone (651) 605-6020

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
I20171117002819 MN Practitioner - Clinical Social Worker 6406131457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centered PracticeGroup PAC ID 8527232198, 7 clinicians

Practice addresses (Care Compare)

401 Division St S
Suite C
Northfield, MN 55057-2096
Phone 50764972941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2092MNMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Centered Practice CurrentSince Sep 30, 2017 Accepting new patients

Locations

401 Division St S
Ste C
Northfield, MN 55057
Phone (507) 645-0444

1619 Dayton Ave
Ste 303
Saint Paul, MN 55104
Phone (651) 605-6020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477548022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 DIVISION ST S",
            "address_2": "STE C",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572096",
            "telephone_number": "651-605-6020",
            "fax_number": "651-605-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 RAILROAD ST SE",
            "address_2": "THERAPEUTIC SEREVICES AGANCY INC",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550631540",
            "telephone_number": "320-629-7600",
            "fax_number": "320-629-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARON",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "2092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine City, MN

Sources for this page

Verify at the official NPI Registry.