Individual provider Active NPI

Katherine Vanderpol Dorschner, LICSW

  • Clinical Social Worker
  • New Ulm, MN
National Provider Identifier
1689455438
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15714 Issued in MN
Practice address
1407 S State St
New Ulm, MN 56073-3715
Phone
(507) 484-2400
Fax
(507) 304-7149
NPI assigned
Oct 9, 2023
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 15714 MN Primary

Addresses

Primary practice location

1407 S State St
New Ulm, MN 56073-3715

Mailing address

1407 S State St
New Ulm, MN 56073-3715
Phone (507) 484-2400

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240614001504 MN Practitioner - Clinical Social Worker 1557804846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

501 N Riverfront Dr
Mankato, MN 56001-3450
Phone (612) 223-8898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15714MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Leo a. Hoffmann Center, Inc. Current Accepting new patients
Optum Behavioral Care of Colorado, P.C. Current Accepting new patients
Optum Behavioral Care of Colorado PC CurrentSince Jan 16, 2025 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Clinical CurrentSince Jan 16, 2025 Accepting new patients
Care Clinics, LLC CurrentSince Jan 16, 2025 Accepting new patients
Inspirations Child and Family Therapy Center, LLC Clinical PastSince Aug 11, 2024 Accepting new patients

Locations

7400 W 109th St
Bloomington, MN 55438
Phone (952) 886-3268

501 N Riverfront Dr
Mankato, MN 56001
Phone (612) 223-8988

1715 Sheppard Dr
Saint Peter, MN 56082
Phone (507) 484-2400

7601 Wayzata Blvd
St Louis Park, MN 55426
Phone (612) 223-8899

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1689455438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 S STATE ST",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560733715",
            "telephone_number": "507-484-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 S STATE ST",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560733715",
            "telephone_number": "507-484-2400",
            "fax_number": "507-304-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSCHNER",
        "first_name": "KATHERINE",
        "middle_name": "VANDERPOL",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "15714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Ulm, MN

Sources for this page

Verify at the official NPI Registry.