Active NPIIndividual providerSole proprietor

Kathy Prow, MSW, LICSW

Social Worker, Clinical in Lakeville, Minnesota

NPI Number1568121036
Practice location
22930 Forest Ridge Dr, Lakeville, MN 55044-8006
Fax
—
Last updated
December 13, 2021

Kathy Prow is a Social Worker, Clinical based in Lakeville, MN. Kathy Prow practices in Lakeville, MN and has the professional credentials of MSW, LICSW. The NPI Number for Kathy Prow is 1568121036 and holds a License No. 11038 (MN). The current practice location address for Kathy Prow is 22930 Forest Ridge Dr, Lakeville, MN 55044-8006 and can be reached out via phone at 855-227-6562.

Provider Profile Details

NPI Number
1568121036
Provider Name
Kathy Prow
Credential
MSW, LICSW
Provider Entity Type
Individual
Gender
Female
Address
22930 Forest Ridge Dr, Lakeville, MN 55044-8006
Phone Number
855-227-6562
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 13, 2021
Last Update Date
December 13, 2021
Certification Date
December 13, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
22930 Forest Ridge Dr
Lakeville, MN 55044-8006
Zip
55044-8006
Phone Number
855-227-6562
Lakeville, MN 55044Get directions →

Provider Business Mailing Address Details

Address
200 State St Ste 302
Boston, MA 02109-2672
City
Boston
State
MA
Zip
02109-2672
Phone Number
855-227-6562
Fax Number
888-733-9280

License Information

License Number
11038
License State
MN
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kathy Prow, MSW, LICSW?

The NPI number of Kathy Prow, MSW, LICSW is 1568121036. It was assigned on December 13, 2021 and is currently active in the NPPES registry.

What is the specialty of Kathy Prow, MSW, LICSW?

Kathy Prow, MSW, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MN under license number 11038.

Where does Kathy Prow, MSW, LICSW practice?

The practice location is 22930 Forest Ridge Dr, Lakeville, MN 55044-8006. The office can be reached at 855-227-6562 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568121036 directly on the NPPES registry website.

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