Katherine A Mackin, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26617 Issued in MN

Practice address

900 South 8TH Street
S1.300 Coordinated Care Center
Minneapolis, MN 55404

Phone

(612) 873-6580

NPI assigned

Feb 3, 2021

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1720679525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S 8TH ST # S1.300",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041292",
            "telephone_number": "952-454-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SOUTH 8TH STREET",
            "address_2": "S1.300 COORDINATED CARE CENTER",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55404",
            "telephone_number": "612-873-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKIN",
        "first_name": "KATHERINE",
        "middle_name": "A",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "26617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary D Mackenburg Mohn, NP
• Angela Mackenstadt
• Stephanie Marie Mackenthun, MD
• Terra R Mackenthun, RN, MSN
• Paula S Mackey, MD
• Sharon Mackinnon
• Olivia Margaret Dorothy Mackley
• Suzanne Lynn Mackley, SLP-R, CCC
• Makenze Maggie Mackovich, MENTAL HEALTH P
• Danielle Yvonne Maclaurin, APRN,BC, ANP, GNP

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, 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 Feb 3, 2021; 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.