Katherine Pendleton, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34335 Issued in MN

Practice address

211 N 1St St Ste 335
Minneapolis, MN 55401-2800

Phone

(971) 220-2127

Fax

(844) 605-1865

NPI assigned

Aug 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kate Pendleton Other name

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

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 and National Provider Directory roles.

• Unrooted Counseling LLC

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1700604931
  Medicare reassignment NPD
• Briggs Therapy Group, LLC

  • Mental Health Counselor
  • Park Ridge, IL
  • NPI 1912411893

  Clinical

  NPD (past)

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1841918190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 S TONNE DR APT 202",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054125",
            "telephone_number": "612-597-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N 1ST ST STE 335",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554012800",
            "telephone_number": "971-220-2127",
            "fax_number": "844-605-1865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Washington Ave N Ste 406",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554011370",
            "country_code": "US",
            "telephone_number": "971-220-2127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "KATHERINE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.028551",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "34335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "PENDLETON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Fernando A Pena, MD
• Jacqueline Pena
• Jennifer M Pena, ANP, GNP
• Jessica Frances Pendal
• Sydney Nicole Pendergast, PHARMD
• Lisa Peng, DO
• Penn Avenue Family Dental
• Aaron Penn, M.S.
• Aleiya Marielle Penn, LICSW
• Bethany Ruth Lord Penna, NP

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, 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 1, 2025; 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.