Paula Jane Kitzmann, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4176 Issued in MN

Practice address

207 Park Ave S
Park Rapids, MN 56470-1531

Phone

(218) 255-3321

Fax

(218) 237-8135

NPI assigned

Sep 4, 2015

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

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

University of North Dakota School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellness Matters LLCGroup PAC ID 2961826086, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Wellness Matters LLC

  • Professional Counselor
  • Park Rapids, MN
  • NPI 1831731934

  Clinical

  Medicare reassignment Care Compare group NPD
• Lakeland Mental Health Center

  • Case Manager/Care Coordinator
  • Fergus Falls, MN
  • NPI 1063869055
  NPD (past)

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716681600000",
    "number": "1689042830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 957",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564700957",
            "telephone_number": "218-786-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 PARK AVE S",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701531",
            "telephone_number": "218-255-3321",
            "fax_number": "218-237-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITZMANN",
        "first_name": "PAULA",
        "middle_name": "JANE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-04",
        "last_updated": "2024-05-26",
        "certification_date": "2024-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "4176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ki Senior Living of Park Rapids, LLC (Crystal Brook Senior Living)
• Jessica J Kimball
• Brianna Kirchner, MA, LPCC
• Joel T.G. Kirchner, PHD
• Laura Lynn Kirlin, LICSW
• Rita Kleven
• Tia M Kocka, CDE
• Kavya Koppula, M.D
• Crystal Rose Krautkremer, BSN, RN
• Elizabeth Ann Krueger, PHARMD

• Clinical Social Worker in Park Rapids, MN
• Providers in Park Rapids, 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 May 26, 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.