Active NPI
Kathleen Castillo, LGSW
- Social Worker
- Saint Cloud, MN
National Provider Identifier
1528321684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 21617
- Practice address
- 4801 Veterans Dr
Saint Cloud, MN 56303-2015 - Phone
- (320) 252-1670
- NPI assigned
- Jun 22, 2012
- Last updated
- Jun 22, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 21617 | MN | Primary |
Addresses
Primary practice location
4801 Veterans Dr
Saint Cloud, MN 56303-2015
Mailing address
17142 Nixon CT NW
Elk River, MN 55330-5000
Phone (320) 252-1670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340323200000",
"number": "1528321684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17142 NIXON CT NW",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553305000",
"telephone_number": "320-252-1670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 VETERANS DR",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563032015",
"telephone_number": "320-252-1670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "KATHLEEN",
"credential": "LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-22",
"last_updated": "2012-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "21617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Cloud, MN
- Stephanie L Cartwright, LICSW
- Jordana Caruso Kamikovski, OTR/L
- Barbara Anne Carver, PSYD LP
- Sally Marie Cass, RRT-NPS,ACCS
- Cynthia Castellon
- Nathaniel John U. Castro, MD
- Catholic Charities of the Diocese of St Cloud
- Catholic Charities of the Diocese of St Cloud
- Catholic Charities of the Diocese of St Cloud
- Catholic Charities of the Diocese of St. Cloud
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.