Katherine Marie Wurpts, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14882 Issued in MN

Practice address

3301 7TH Ave
Anoka, MN 55303-4516

Phone

(651) 431-5069

Fax

(651) 431-7715

NPI assigned

Jul 15, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1578301693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 7TH AVE",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553034516",
            "telephone_number": "651-431-5069",
            "fax_number": "651-431-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 7TH AVE",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553034516",
            "telephone_number": "651-431-5069",
            "fax_number": "651-431-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURPTS",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "14882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Arno Wittkopp, M.D.
• Rachel Wolbrink
• Eden Woldemariam
• Crystal Wollak
• Amy Jo Wulf, OTR
• Xtra Care
• Cheng Yang
• Kia Yang
• Lao Yang
• Phakouew Yachai Yang, BA

• Clinical Social Worker in Anoka, MN
• Providers in Anoka, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.