Individual provider Active NPI

Catherine Eschenbauch, LICSW

  • Clinical Social Worker
  • Little Canada, MN
National Provider Identifier
1821800012
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28156 Issued in MN
Practice address
2984 Rice St
Little Canada, MN 55113-2230
Phone
(651) 968-4974
NPI assigned
Jan 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 28156 MN Primary

Addresses

Primary practice location

2984 Rice St
Little Canada, MN 55113-2230

Mailing address

1890 Glenpaul Ave
Saint Paul, MN 55112-7904
Phone (763) 226-3522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28156MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Star Mental Health, LLC CurrentSince Jan 26, 2025 Accepting new patients

Locations

2984 Rice St
Little Canada, MN 55113
Phone (651) 314-4350

Organizations & group practices 1

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": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1821800012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 GLENPAUL AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551127904",
            "telephone_number": "763-226-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2984 RICE ST",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "551132230",
            "telephone_number": "651-968-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCHENBAUCH",
        "first_name": "CATHERINE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Canada, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.