Kaitlyn Elizabeth Benz, LSW, LADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28796 Issued in MN

Practice address

210 Gateway Dr NE Ste 4
East Grand Forks, MN 56721-1621

Phone

(218) 230-0787

NPI assigned

Nov 9, 2020

Last updated

Jun 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Woodnote Therapy PLLC

  • Clinical Social Worker
  • Grand Forks, ND
  • NPI 1093479057
  Medicare reassignment NPD
• Riverview Healthcare Association

  dba Riverview Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Thief River Falls, MN
  • NPI 1174672810
  NPD (past)

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1821690546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 MARLOWE AVE NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553307435",
            "telephone_number": "612-816-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 GATEWAY DR NE STE 4",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567211621",
            "telephone_number": "218-230-0787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 LaBree Ave N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Thief River Falls",
            "state": "MN",
            "postal_code": "567012022",
            "country_code": "US",
            "telephone_number": "218-681-8019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENZ",
        "first_name": "KAITLYN",
        "middle_name": "ELIZABETH",
        "credential": "LSW, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "305848",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "28796",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Ann Arntson, MS, RD, LD
• Andrea M Auch, PT
• Balm of Gilead Healthcare Clinic LLC
• Balm of Gilead Healthcare LLC
• Robert William Beattie, M.D
• Jon Edwin Bradbury, MD
• Craig W. Burns, LMSW
• Jennifer Byfuglien, DO
• Thomas Bradley Cariveau, MD
• Marlo Cochran

• Clinical Social Worker in East Grand Forks, MN
• Providers in East Grand Forks, 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 Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.