Kathy M Bunke, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12418 Issued in MN

Practice address

2480 Superior Dr NW
Rochester, MN 55901-1799

Phone

(507) 226-7963

Fax

(507) 258-5000

NPI assigned

Nov 6, 2007

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Mercy'S Place Counseling Services, LLC

  • Clinical Social Worker
  • Rochester, MN
  • NPI 1669834099
  NPD (past) Authorized official

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1609056704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 SUPERIOR DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011799",
            "telephone_number": "507-226-7963",
            "fax_number": "507-258-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 SUPERIOR DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011799",
            "telephone_number": "507-226-7963",
            "fax_number": "507-258-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNKE",
        "first_name": "KATHY",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "12418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas J Bunch, M.D.
• John B Bundrick, M.D.
• Suzanne Bundrick, APRN, CNP
• Jaime Ann Bunger
• Lindy Lois Bungum
• Weslyn Danice Bunn, MD
• Rebecca Jean Bunne-Jensen
• Reem F Bunyan, MD
• Ersida Buraniqi, M.D.
• Carly Elizabeth Burbank, NP

• Clinical Social Worker in Rochester, MN
• Providers in Rochester, 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 Aug 17, 2023; 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.