Individual provider Active NPI

Katie Marie Allen, LCSW, LICSW

  • Social Worker
  • Grand Forks, ND
National Provider Identifier
1720435175
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCSW Issued in ND
Practice address
749 S 30TH St Apt 16
Grand Forks, ND 58201-4082
Phone
(701) 314-2300
Fax
(701) 291-1857
NPI assigned
May 16, 2016
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LGSW MN
Social Worker 104100000X LCSW ND Primary

Addresses

Primary practice location

749 S 30TH St Apt 16
Grand Forks, ND 58201-4082

Mailing address

749 S 30TH St Apt 16
Grand Forks, ND 58201-4082
Phone (701) 314-2300

Other identifiers 1

IdentifierTypeStateIssuer
1467700MedicaidND

Other names 1

  • Katie Marie Spitzer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20160608001154 ND Practitioner - Clinical Social Worker 5890085542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of North Dakota School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

749 S 30TH St
Apt 16
Grand Forks, ND 58201-4082
Phone (701) 314-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGSWMNMDSocial Worker
LCSWNDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Katie Allen Therapy Services, PLLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

4200 James Ray Dr
Grand Forks, ND 58202
Phone (701) 314-2300

749 S 30th St
Apt 16
Grand Forks, ND 58201
Phone (701) 314-2300

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": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1720435175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 S 30TH ST APT 16",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014082",
            "telephone_number": "701-314-2300",
            "fax_number": "701-291-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 S 30TH ST APT 16",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014082",
            "telephone_number": "701-314-2300",
            "fax_number": "701-291-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "credential": "LCSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "LGSW",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "LCSW",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467700",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "SPITZER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.