Individual provider Active NPI

Kathleen Bernhoft, L..IC.S.W.

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1710162342
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14289 Issued in MN
Practice address
3351 46TH Ave S
Minneapolis, MN 55406-2342
Phone
(612) 827-3234
NPI assigned
Jan 2, 2008
Last updated
Aug 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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 14289 MN Primary

Addresses

Primary practice location

3351 46TH Ave S
Minneapolis, MN 55406-2342

Mailing address

233 Groveland Ave
Minneapolis, MN 55403-3504
Phone (612) 827-3234

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)
Enrolled

Organizations & group practices 1

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": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1710162342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 GROVELAND AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033504",
            "telephone_number": "612-827-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 46TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062342",
            "telephone_number": "612-827-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNHOFT",
        "first_name": "KATHLEEN",
        "credential": "L..IC.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "14289",
            "primary": true
        }
    ],
    "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 Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.