Individual provider Active NPI

Kathryn Elizabeth Mouw

  • Clinical Social Worker
  • Owatonna, MN
National Provider Identifier
1962143404
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23031 Issued in MN
Practice address
125 Landmark Dr NE Ste 2
Owatonna, MN 55060-1629
Phone
(612) 281-2058
NPI assigned
Apr 6, 2022
Last updated
Apr 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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 23031 MN Primary

Addresses

Primary practice location

125 Landmark Dr NE Ste 2
Owatonna, MN 55060-1629

Mailing address

225 Nature Valley PL NW
Owatonna, MN 55060-1385

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
I20221214000864 MN Practitioner - Clinical Social Worker 4880063866 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

245 18TH St SE
Suite 102
Owatonna, MN 55060-4003
Phone (507) 774-2216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
For the Love of You Clinical CurrentSince May 18, 2025 Accepting new patients
Full Circle Counseling and Wellness, PC Clinical CurrentSince Oct 1, 2022 Accepting new patients

Locations

125 Landmark Dr NE
Ste 2
Owatonna, MN 55060
Phone (507) 214-2016

1880 Austin Rd
Ste 1
Owatonna, MN 55060
Phone (507) 214-2016

245 18th St SE
Owatonna, MN 55060
Phone (507) 774-2216

245 18th St SE
Ste 102
Owatonna, MN 55060
Phone (507) 200-8330

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": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1962143404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 NATURE VALLEY PL NW",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550601385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LANDMARK DR NE STE 2",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550601629",
            "telephone_number": "612-281-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUW",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "23031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owatonna, MN

Sources for this page

Verify at the official NPI Registry.