Healthcare Provider Details

I. General information

NPI: 1508628629
Provider Name (Legal Business Name): AMANDA JOY KAPING LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2024
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 MICHIGAN ST SE
HUTCHINSON MN
55350-1908
US

IV. Provider business mailing address

19815 210TH ST
HUTCHINSON MN
55350-4319
US

V. Phone/Fax

Practice location:
  • Phone: 320-317-7945
  • Fax:
Mailing address:
  • Phone: 320-317-7945
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number20755
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: