Jill Noelle Kiltie, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10600 Issued in MN

Practice address

8320 City Centre Dr Ste G
Woodbury, MN 55125-3382

Phone

(651) 738-9888

NPI assigned

Oct 12, 2007

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)

Not enrolled

Practice roles

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.

• Family Achievement Center Inc.

  • Occupational Therapist
  • Woodbury, MN
  • NPI 1952411175
  NPD (past)

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1750579991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 CITY CENTRE DR STE G",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253382",
            "telephone_number": "651-738-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8320 CITY CENTRE DR STE G",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253382",
            "telephone_number": "651-738-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILTIE",
        "first_name": "JILL",
        "middle_name": "NOELLE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "10600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyse O Kharbanda, MD
• Hoa Huynh Khatib, RPH
• Daniel J Khoury, MD
• Joel Kiefer
• Douglas F Kilgore, OD
• Teresia Kimani
• Jacqueline Lee Kimber, RDH
• Monica Katherine Kimitch, AU.D. CCC-A
• Bridget M Kimker, PA-C
• Kind Heart Helpers Inc

• Clinical Social Worker in Woodbury, MN
• Providers in Woodbury, 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 Oct 12, 2007; 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.