Individual provider Active NPI

Caroline Wilcox Youngkrantz, MSW, LICSW

  • Clinical Social Worker
  • Hutchinson, MN
National Provider Identifier
1700555968
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
29233 Issued in MN
Practice address
1071 Highway 15 S
Hutchinson, MN 55350-3153
Phone
(708) 227-6954
NPI assigned
Sep 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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 29233 MN Primary

Addresses

Primary practice location

1071 Highway 15 S
Hutchinson, MN 55350-3153

Mailing address

350 S 5TH St
Bird Island, MN 55310-1238
Phone (708) 227-6954

Other names 1

  • Ms. Caroline Wilcox Hennessy Former name

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
I20230608001920 MN Practitioner - Clinical Social Worker 2163889080 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True Balance LTDGroup PAC ID 5597833525, 10 clinicians

Practice addresses (Care Compare)

1040 Adams St SE
Hutchinson, MN 55350-2922
Phone (320) 632-5524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29233MNMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpartners RC CurrentSince Aug 1, 2023 Accepting new patients
Hutchinson Health CurrentSince Apr 30, 2023 Accepting new patients
Healthpartners RC CurrentSince Aug 1, 2023 Accepting new patients
Caroline'S Center for Children and Families Clinical CurrentSince Aug 4, 2024 Accepting new patients

Locations

1071 Highway 15 S
Hutchinson, MN 55350
Phone (320) 484-4400

1029 Highway 15 S
Hutchinson, MN 55350
Phone (320) 275-3358

100 Healthy Way
Olivia, MN 56277
Phone (320) 523-1261

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1700555968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S 5TH ST",
            "city": "BIRD ISLAND",
            "state": "MN",
            "postal_code": "553101238",
            "telephone_number": "708-227-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 HIGHWAY 15 S",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553503153",
            "telephone_number": "708-227-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGKRANTZ",
        "first_name": "CAROLINE",
        "middle_name": "WILCOX",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "29233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "HENNESSY",
            "middle_name": "WILCOX",
            "prefix": "MS.",
            "credential": "MSW, LGSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hutchinson, MN

Sources for this page

Verify at the official NPI Registry.