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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATELYN SARAH KUBISTA, MSW, LICSW

Active Sole Proprietor

KATELYN SARAH KUBISTA, MSW, LICSW is a Clinical Social Worker healthcare provider located in PLYMOUTH, Minnesota. NPI 1023907276 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PLYMOUTH, MN

Registration Details

NPI Number
1023907276
Provider Type
Individual
Gender
Female
NPI Issued
Jul 1, 2025 (1.0945515526222 yrs)
Last Updated
Jul 1, 2025
License
31140 (MN)
Sole Proprietor
Yes

Practice Information

Address
10000 HWY 55 STE 200
PLYMOUTH, MN, 554416433
Browse MN providers · Browse ZIP 55441
Phone
5867077085
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in PLYMOUTH, MN

Name Credential NPI
YING P ELLIOTT LICSW 1144213901
CATHERINE ANNE STENZEL MSW, LICSW 1487734794
MRS. BETH W MATTHEWS LICSW 1447324074
MS. JOY S ALLEN LCSW 1770649394
JENNIFER LYNN SHEPHERD MSW, L.I.C.S.W. 1518137421
JEFF WILLIAM SHIVELY LICSW 1376782961
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.