Active NPI
Catherine Clonch
- Clinical Social Worker
- Minneapolis, MN
National Provider Identifier
1609224104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34189
- Practice address
- 729 Washington Ave N Ste 600
Minneapolis, MN 55401-1118 - Phone
- (323) 205-7088
- Fax
- (833) 419-0181
- NPI assigned
- May 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34189 | MN | Primary |
| Clinical Social Worker | 1041C0700X | .09930726 | CO | |
| Clinical Social Worker | 1041C0700X | 127971 | IA | |
| Clinical Social Worker | 1041C0700X | 12074-123 | WI |
Addresses
Primary practice location
729 Washington Ave N Ste 600
Minneapolis, MN 55401-1118
Mailing address
4989 N 3Rd St
Laramie, WY 82072-9548
Phone (307) 745-8997
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| .09930726 | CO | MD | Clinical Social Worker |
| 127971 | IA | MD | Clinical Social Worker |
| 12074-123 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1609224104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4989 N 3RD ST",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820729548",
"telephone_number": "307-745-8997",
"fax_number": "307-742-6146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 WASHINGTON AVE N STE 600",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554011118",
"telephone_number": "323-205-7088",
"fax_number": "833-419-0181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLONCH",
"first_name": "CATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-25",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "34189",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": ".09930726",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "127971",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "12074-123",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.