Active NPI
Kathleen Frances Weinbender, MSW, LICSW
- Social Worker
- White Bear Lake, MN
National Provider Identifier
1992993398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 08401
- Practice address
- 1310 Highway 96 E
Suite #200
White Bear Lake, MN 55110-3624 - Phone
- (651) 647-1900
- NPI assigned
- Oct 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 08401 | MN | Primary |
Addresses
Primary practice location
1310 Highway 96 E
Suite #200
White Bear Lake, MN 55110-3624
Mailing address
1310 Highway 96 E
Suite #200
White Bear Lake, MN 55110-3624
Phone (651) 647-1900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08401 | Other | MN | LICSW LICENCE |
| HP31287 | Other | MN | HEALTH PARTNERS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08401 | MN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathway Virtu-Health | Past | Accepting new patients | |
| Midwest Center for Personal & Family Development PA | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saint Paul, MN
- NPI 1285730903
-
- Family Nurse Practitioner
- Shoreview, MN
- NPI 1073134284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196726400000",
"number": "1992993398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 HIGHWAY 96 E",
"address_2": "SUITE #200",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551103624",
"telephone_number": "651-647-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 HIGHWAY 96 E",
"address_2": "SUITE #200",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551103624",
"telephone_number": "651-647-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINBENDER",
"first_name": "KATHLEEN",
"middle_name": "FRANCES",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-10",
"last_updated": "2007-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "08401",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICSW LICENCE",
"identifier": "08401",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP31287",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in White Bear Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.