MEDICARE: CATHERINE MARINCEL-ROBB 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	2611	MN

General Provider Information

NPI Number	:	1538274337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE MARINCEL-ROBB LICSW

Provider Business Mailing Address
First Line	:	4150 WOODHILL DR
Second Line	:
City	:	LORETTO
State	:	MN
Zip	:	55357-9558
Country	:	US
Telephone Number	:	763-221-5595
Fax Number	:

Provider Business Practice Location Address
First Line	:	1068 LAKE ST S STE 109
Second Line	:
City	:	FOREST LAKE
State	:	MN
Zip	:	55025-2633
Country	:	US
Telephone Number	:	651-982-4792
Fax Number	:	763-479-1339

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

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	06/23/2026

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