PAULA JANE KITZMANN (LICSW) – Clinical Social Worker, NPI 1689042830

PAULA JANE KITZMANN (LICSW) is a healthcare provider. based in Duluth, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 4176 (MN). The NPI Number for PAULA JANE KITZMANN (LICSW) is 1689042830

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
PAULA JANE KITZMANN (LICSW)
NPI
1689042830
Phone
(218) 786-8319
Address
400 E THIRD ST MCL@CRED
Enumeration Date
4 September 2015
Last Update Date
26 May 2024

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
2186161276
Graduation Year
2012 (14 years ago)
PAC ID
6406164300
Group Practice PAC ID
2961826086
Professional Enrollment ID
I20150925001533
Address ID
MN564701856PA104XXNXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for PAULA JANE KITZMANN (LICSW)

  • 400 E THIRD ST MCL@CRED

    DULUTH, MN 558051951

    Phone: (218) 786-8319

    Type: Mailing

  • 705 PLEASANT AVE S

    PARK RAPIDS, MN 564701440

    Phone: (218) 732-2800

    Type: Location

  • PO BOX 957

    PARK RAPIDS, MN 564700957

    Phone: (218) 786-8319

    Type: Mailing

  • 207 PARK AVE S

    PARK RAPIDS, MN 564701531

    Phone: (218) 255-3321

    Fax: (218) 237-8135

    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: 2015-09-25

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
I20150925001533IClinical 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
90837Psychotherapy, 1 hour46323$0
View full utilization report →

Insurance plans in this area (ZIP 55805)

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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: 2961826086View full group profile
NameSpecialtyState
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMT
Mental Health CounselorND
Mental Health CounselorMT

Reviews

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Frequently asked questions

Where can patients find PAULA JANE KITZMANN (LICSW)'s NPI?
You can confirm PAULA JANE KITZMANN (LICSW) with NPI 1689042830; it appears in the national provider directory.
Is PAULA JANE KITZMANN (LICSW)'s NPI currently valid?
The extract we use shows PAULA JANE KITZMANN (LICSW) as active.
What does PAULA JANE KITZMANN (LICSW) treat or focus on?
Patients typically see PAULA JANE KITZMANN (LICSW) under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location shows for PAULA JANE KITZMANN (LICSW)?
We surface Duluth, Minnesota for PAULA JANE KITZMANN (LICSW) based on available NPPES addresses.
Is PAULA JANE KITZMANN (LICSW) a real provider?
This page reflects official NPPES data for NPI 1689042830. Always confirm identity and privileges with the practice and licensing boards.

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