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1821196882

NPI Code Detail

MEDICARE: KATHRYN M KAMINSKI-SCHMIDT LICSW

MEDICARE: KATHRYN M KAMINSKI-SCHMIDT LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	16050	MN
2	1041C0700X	Clinical Social Worker	LICSW16050	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	607K1KA	OTHER	MN	BLUE CROSS BLUE SHEILD
3	990991046376	OTHER	MN	PREFERRED ONE
4	HP58094	OTHER	MN	HEALTHPARTNERS

General Provider Information

NPI Number	:	1821196882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN M KAMINSKI-SCHMIDT LICSW

Provider Business Mailing Address
First Line	:	1900 SILVER LAKE RD NW
Second Line	:
City	:	NEW BRIGHTON
State	:	MN
Zip	:	55112-1786
Country	:	US
Telephone Number	:	651-628-9566
Fax Number	:

Provider Business Practice Location Address
First Line	:	13603 80TH CIR N
Second Line	:
City	:	MAPLE GROVE
State	:	MN
Zip	:	55369-8961
Country	:	US
Telephone Number	:	763-274-3120
Fax Number	:	763-274-3121

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	12/21/2021

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Directions to “ KATHRYN M KAMINSKI-SCHMIDT LICSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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