Kathleen A Caron, LICSW
Individual provider Active NPI Social Worker · Pine City, MN
NPI 1477548022 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1477548022
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 2092 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centered Practice
Practice addresses (Care Compare)
401 Division St S
Suite C
Northfield, MN 55057-2096
Phone 50764972941
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171117002819 | MN | Practitioner - Clinical Social Worker | 6406131457 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2092 | MN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centered Practice | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2092 | MN | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 909669800 | Medicaid | MN |
Other providers in Pine City, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.