Individual provider Active NPI

Sandra Marie Kroll

  • Clinical Social Worker
  • Saint Cloud, MN
National Provider Identifier
1487160289
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
29435 Issued in MN
Practice address
22 Wilson Ave NE Ste 104
Saint Cloud, MN 56304-0406
Phone
(320) 428-0288
Fax
(320) 200-0252
NPI assigned
Dec 17, 2017
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 29435 MN Primary

Addresses

Primary practice location

22 Wilson Ave NE Ste 104
Saint Cloud, MN 56304-0406

Mailing address

22 Wilson Ave NE Ste 104
Saint Cloud, MN 56304-0406
Phone (320) 428-0288

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
I20210712001387 MN Practitioner - Clinical Social Worker 4880096023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22 Wilson Ave NE
Suite 104
Saint Cloud, MN 56304-0406
Phone (320) 428-0288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Refreshing Perspectives Therapy LLC Clinical CurrentSince Jun 1, 2023 Accepting new patients
Family Support Services Inc. PastSince Jan 1, 2024 Accepting new patients

Locations

1521 Northway Dr
Ste 110
Saint Cloud, MN 56303
Phone (320) 240-0300

22 Wilson Ave NE
Ste 104
Saint Cloud, MN 56304

Organizations & group practices 2

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": "1513468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1487160289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WILSON AVE NE STE 104",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563040406",
            "telephone_number": "320-428-0288",
            "fax_number": "320-200-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WILSON AVE NE STE 104",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563040406",
            "telephone_number": "320-428-0288",
            "fax_number": "320-200-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROLL",
        "first_name": "SANDRA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-17",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "29435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.