Active NPI
Kayla Marie Carlson, LMSW
- Social Worker
- Plymouth, MN
National Provider Identifier
1538947460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 28753
- Practice address
- 4100 Berkshire LN N
Plymouth, MN 55446-3813 - Phone
- (612) 223-8898
- NPI assigned
- Sep 20, 2023
- 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 | 28753 | MN | Primary |
Addresses
Primary practice location
4100 Berkshire LN N
Plymouth, MN 55446-3813
Mailing address
34260 Wells Creek TRL
Goodhue, MN 55027-8410
Phone (651) 380-2612
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": "1695168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1538947460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34260 WELLS CREEK TRL",
"city": "GOODHUE",
"state": "MN",
"postal_code": "550278410",
"telephone_number": "651-380-2612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 BERKSHIRE LN N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554463813",
"telephone_number": "612-223-8898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "KAYLA",
"middle_name": "MARIE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-20",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "28753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.