Individual provider Active NPI

Katherine Driskell, MSW, LICSW

  • Clinical Social Worker
  • Rochester, MN
National Provider Identifier
1790064970
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19576 Issued in MN
Practice address
4600 18TH Ave NW
Rochester, MN 55901-2116
Phone
(507) 287-2010
NPI assigned
Aug 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 19576 MN Primary

Addresses

Primary practice location

4600 18TH Ave NW
Rochester, MN 55901-2116

Mailing address

4600 18TH Ave NW
Rochester, MN 55901-2116
Phone (507) 944-4164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20170216001851 MN Practitioner - Clinical Social Worker 5597048520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Service Rochester IncGroup PAC ID 1759658388, 7 clinicians

Practice addresses (Care Compare)

4600 18TH Ave NW
Rochester, MN 55901-2116
Phone (507) 287-2010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Zumbro Valley Health Center CurrentSince Oct 11, 2021 Accepting new patients
Family Service Rochester, Inc CurrentSince Mar 14, 2022 Accepting new patients

Locations

1620 Greenview Dr SW
Rochester, MN 55902
Phone (507) 218-3701

4600 18th Ave NW
Rochester, MN 55901
Phone (507) 287-2010

343 Woodlake Dr SE
Rochester, MN 55904
Phone (507) 289-2089

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1790064970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 18TH AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012116",
            "telephone_number": "507-944-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 18TH AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012116",
            "telephone_number": "507-287-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISKELL",
        "first_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "19576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.