KATHERINE ROSE HABERKORN (LICSW) – Clinical Social Worker, NPI 1013401546

KATHERINE ROSE HABERKORN (LICSW) is a healthcare provider. based in Brainerd, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 19228 (MN). The NPI Number for KATHERINE ROSE HABERKORN (LICSW) is 1013401546

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE ROSE HABERKORN (LICSW)
NPI
1013401546
Phone
(218) 829-3235
Address
520 5TH STREET NW
Enumeration Date
18 June 2018
Last Update Date
19 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2188941515
Graduation Year
2008 (18 years ago)
PAC ID
0143572305
Group Practice PAC ID
1052229671
Professional Enrollment ID
I20181016003722
Address ID
MN564795280ST49725COUN203
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for KATHERINE ROSE HABERKORN (LICSW)

  • 520 5TH STREET NW

    BRAINERD, MN 56401

    Phone: (218) 829-3235

    Type: Mailing

  • 1900 SILVER LAKE RD NW STE 110

    NEW BRIGHTON, MN 551121789

    Phone: (651) 628-9566

    Fax: (651) 628-0411

    Type: Mailing

  • 13045 FALCON DR STE 100

    BAXTER, MN 564254201

    Phone: (218) 829-9307

    Fax: (218) 829-7649

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181016003722IClinical Social WorkerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes5911$0
90837Psychotherapy, 1 hour4122$0
90791Psychiatric diagnostic evaluation1919$0
View full utilization report →

Insurance plans in this area (ZIP 56401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052229671View full group profile
NameSpecialtyState
Nurse PractitionerMN
Family PracticeMN
Nurse PractitionerMN
-MN
Certified Registered Nurse Anesthetist (Crna)MN
Internal Medicine, Pulmonary Disease, Pulmonary Disease, Internal Medicine, Critical Care (Intensivists), Critical Care (Intensivists)IA
O B S T E T R I C S/ G Y N E C O L O G YMN
Emergency Medicine, Family PracticeMN
Diagnostic RadiologyMN
Family PracticeMN

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Frequently asked questions

What is the standard ID for KATHERINE ROSE HABERKORN (LICSW) in the U.S.?
In the U.S., KATHERINE ROSE HABERKORN (LICSW) is identified by NPI 1013401546.
Is KATHERINE ROSE HABERKORN (LICSW)'s NPI status active today?
Active status means KATHERINE ROSE HABERKORN (LICSW)'s NPI record is not deactivated in the public file.
What services align with KATHERINE ROSE HABERKORN (LICSW)'s listing?
KATHERINE ROSE HABERKORN (LICSW)'s public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Can patients visit KATHERINE ROSE HABERKORN (LICSW) in Brainerd, Minnesota?
For routing, start with Brainerd, Minnesota for KATHERINE ROSE HABERKORN (LICSW), then verify phone and hours locally.
Who maintains KATHERINE ROSE HABERKORN (LICSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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