Alison Jean Kyllander, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15412 Issued in MN

Practice address

10165 119TH St N
Stillwater, MN 55082-9419

Phone

(612) 986-6777

NPI assigned

Oct 13, 2011

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": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1770868499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10165 119TH ST N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550829419",
            "telephone_number": "612-986-6777",
            "fax_number": "763-520-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10165 119TH ST N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550829419",
            "telephone_number": "612-986-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYLLANDER",
        "first_name": "ALISON",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "15412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Mary Kulka, M.S.,L.P.
• Priya Kumar, M.D.
• Patti Yvonne Kunze, MD
• Lindsay M Kuphal, CNP
• Debra Sue Kutz, PT
• Carson Laatsch, PA
• Amber Labancz
• Kathryn Labore
• Sean Patrick Laidig, D.D.S.
• Lakes Advanced Pain Specialists PLLC

• Clinical Social Worker in Stillwater, MN
• Providers in Stillwater, 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 Aug 25, 2023; 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.