Individual provider Active NPI

Kara Kocmick, MSW, LICSW

  • Clinical Social Worker
  • Mankato, MN
National Provider Identifier
1861098998
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
209 S 2ND St Ste 306
Mankato, MN 56001-3639
Phone
(507) 387-1350
NPI assigned
Dec 4, 2020
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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 Primary

Addresses

Primary practice location

209 S 2ND St Ste 306
Mankato, MN 56001-3639

Mailing address

209 S 2ND St Ste 306
Mankato, MN 56001-3639
Phone (507) 387-1350

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
I20230815001575 MN Practitioner - Clinical Social Worker 8022491588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mankato Psychology Clinic PLCGroup PAC ID 0941214381, 4 clinicians

Practice addresses (Care Compare)

209 S 2ND St
Suite 306
Mankato, MN 56001-3639
Phone (507) 387-1350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mankato Psychology Clinic, PLC CurrentSince Jul 20, 2024 Accepting new patients
Nystrom & Associates, LTD Clinical PastSince Apr 13, 2026 Accepting new patients
Leo a. Hoffmann Center, Inc. PastSince Dec 1, 2020 Accepting new patients

Locations

209 S 2nd St
Ste 306
Mankato, MN 56001
Phone (507) 387-1143

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1861098998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S 2ND ST STE 306",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013639",
            "telephone_number": "507-387-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S 2ND ST STE 306",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013639",
            "telephone_number": "507-387-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCMICK",
        "first_name": "KARA",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.