Healthcare Provider Details

I. General information

NPI: 1518293174
Provider Name (Legal Business Name): KATY VOLKMANN MSW. LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATY WARNEN MSW, LICSW

II. Dates (important events)

Enumeration Date: 11/02/2009
Last Update Date: 08/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5125 COUNTY ROAD 101, SUITE 300
MINNETONKA MN
55345
US

IV. Provider business mailing address

5125 COUNTY ROAD 101, SUITE 300
MINNETONKA MN
55345
US

V. Phone/Fax

Practice location:
  • Phone: 952-932-7277
  • Fax: 952-932-9827
Mailing address:
  • Phone: 952-932-7277
  • Fax: 952-932-9827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number18582
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: