Individual provider Active NPI

Catherine Marincel-Robb, LICSW

  • Clinical Social Worker
  • Forest Lake, MN
National Provider Identifier
1538274337
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2611 Issued in MN
Practice address
1068 Lake St S Ste 109
Forest Lake, MN 55025-2633
Phone
(651) 982-4792
Fax
(763) 479-1339
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 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 2611 MN Primary

Addresses

Primary practice location

1068 Lake St S Ste 109
Forest Lake, MN 55025-2633

Mailing address

4150 Woodhill Dr
Loretto, MN 55357-9558
Phone (763) 221-5595

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
I20101004000849 MN Practitioner - Clinical Social Worker 1557553948 Practice locations: Loretto, MN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4150 Woodhill Dr
Loretto, MN 55357-9558
Phone (651) 646-0879

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02611MNMDMental Health Counselor
2611MNMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway Virtu-Health Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1538274337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 WOODHILL DR",
            "city": "LORETTO",
            "state": "MN",
            "postal_code": "553579558",
            "telephone_number": "763-221-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 LAKE ST S STE 109",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252633",
            "telephone_number": "651-982-4792",
            "fax_number": "763-479-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINCEL-ROBB",
        "first_name": "CATHERINE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "2611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Lake, MN

Sources for this page

Verify at the official NPI Registry.