MRS. KATHLEEN A CARON (LICSW) – Social Worker, NPI 1477548022

MRS. KATHLEEN A CARON (LICSW) is a healthcare provider. based in Northfield, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 2092 (MN). The NPI Number for MRS. KATHLEEN A CARON (LICSW) is 1477548022

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KATHLEEN A CARON (LICSW)
NPI
1477548022
Phone
(651) 605-6020
Address
401 DIVISION ST S
Enumeration Date
20 September 2005
Last Update Date
9 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
50764972941
Graduation Year
1994 (32 years ago)
PAC ID
6406131457
Group Practice PAC ID
8527232198
Professional Enrollment ID
I20171117002819
Address ID
MN550572096NO401XXSXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

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Provider Addresses for MRS. KATHLEEN A CARON (LICSW)

  • 401, Division Street South, Northfield, Rice County, Minnesota, 55057, United States

    STE C

    NORTHFIELD, MN 550572096

    Phone: (651) 605-6020

    Fax: (651) 605-6020

    Type: Mailing

  • 220, Railroad Street Southeast, Pine Terrace Mobile Home Park, Pine City, Pine County, Minnesota, 55063, United States

    THERAPEUTIC SEREVICES AGANCY INC

    PINE CITY, MN 550631540

    Phone: (320) 629-7600

    Fax: (320) 629-7900

    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: 2017-11-17

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
I20171117002819IClinical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55057)

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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: 8527232198View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Marriage And Family TherapistMN
Clinical Social WorkerMN
Clinical Social WorkerMI
Clinical Social WorkerMN
Clinical Social WorkerNM
Clinical Social WorkerMN

Reviews

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Frequently asked questions

What identifier follows MRS. KATHLEEN A CARON (LICSW) across health systems?
The NPI 1477548022 uniquely identifies MRS. KATHLEEN A CARON (LICSW) in U.S. healthcare data.
Should I treat MRS. KATHLEEN A CARON (LICSW) as an active provider?
Patients and plans typically see MRS. KATHLEEN A CARON (LICSW) as active in the national extract.
Which specialty label fits MRS. KATHLEEN A CARON (LICSW)?
NPPES ties MRS. KATHLEEN A CARON (LICSW) to Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. KATHLEEN A CARON (LICSW)?
MRS. KATHLEEN A CARON (LICSW) is associated with Northfield, Minnesota in the same public data insurers reference.
Who maintains MRS. KATHLEEN A CARON (LICSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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