Individual provider Active NPI

Danielle Christopherson, LICSW

  • Clinical Social Worker
  • Grand Rapids, MN
National Provider Identifier
1952030959
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25508 Issued in MN
Practice address
1880 River Rd
Grand Rapids, MN 55744-4085
Phone
(218) 327-3000
NPI assigned
Jun 7, 2022
Last updated
May 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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 25508 MN Primary

Addresses

Primary practice location

1880 River Rd
Grand Rapids, MN 55744-4085

Mailing address

303 SE 1St St
Grand Rapids, MN 55744-3681
Phone (218) 327-3000

Other practice location 1

217 NW 1st Ave
Grand Rapids, MN 55744-2702
Phone (651) 313-8080

Other names 1

  • Danielle Kaderlik Former name

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
I20220728001243 MN Practitioner - Clinical Social Worker 1951783620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nystrom and Associates LTDGroup PAC ID 6406752492, 590 clinicians

Practice addresses (Care Compare)

217 NW 1St Ave
Grand Rapids, MN 55744-2702
Phone (651) 313-8080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nystrom & Associates, LTD Clinical CurrentSince Apr 13, 2026 Accepting new patients
Danielle Christopherson, PLLC Clinical Current Accepting new patients

Locations

217 NW 1st Ave
Grand Rapids, MN 55744
Phone (218) 244-1735

1370 Mendota Heights Rd
Mendota Heights, MN 55120
Phone (651) 764-7245

1150 Montreal Ave
Ste 107
Saint Paul, MN 55116
Phone (651) 307-5148

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, 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": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1952030959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 SE 1ST ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443681",
            "telephone_number": "218-327-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 RIVER RD",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444085",
            "telephone_number": "218-327-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 NW 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MN",
            "postal_code": "557442702",
            "country_code": "US",
            "telephone_number": "651-313-8080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTOPHERSON",
        "first_name": "DANIELLE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "25508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "KADERLIK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MN

Sources for this page

Verify at the official NPI Registry.