Kathryn Jane Faver, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3151 Issued in MN

Practice address

522 Beltrami Ave NW Ste 17
Bemidji, MN 56601-3182

Phone

(218) 441-3631

NPI assigned

Aug 7, 2006

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

Other identifiers 3

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

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Assessment & Counseling Associates LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bemidji, MN
  • NPI 1164286415

  Clinical

  Medicare reassignment NPD Authorized official
• North Homes, Inc

  dba North Homes Children and Family Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Grand Rapids, MN
  • NPI 1790826550
  Medicare reassignment NPD

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1639188543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 BELTRAMI AVE NW STE 17",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013182",
            "telephone_number": "218-441-3632",
            "fax_number": "218-444-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 BELTRAMI AVE NW STE 17",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013182",
            "telephone_number": "218-441-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVER",
        "first_name": "KATHRYN",
        "middle_name": "JANE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "3151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082722300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "11N51GA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA/UBH",
            "identifier": "6271239",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Advocacy Center of Northern Minnesota
• Fargo Vamc
• Lisa Fast
• Joshua James Faucher, M.D.
• David Faugno-Fusci, MD
• Richard William Faver, MA, L.P.
• Matthew Feddema
• Michael David Feil, DDS
• Patricia Winslow Feil, DDS
• Alexander Charles Fenson, OD

• Clinical Social Worker in Bemidji, MN
• Providers in Bemidji, 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 Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.