Individual
KATHRYN M KAMINSKI-SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
13603 80TH CIR N, MAPLE GROVE, MN 55369-8961
(763) 274-3120
(763) 274-3121
Mailing address
1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
16050
MN
1041C0700X
Clinical Social Worker
Primary
LICSW16050
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
572407400
—
MN
01
—
607K1KA
BLUE CROSS BLUE SHEILD
MN
01
—
990991046376
PREFERRED ONE
MN
01
—
HP58094
HEALTHPARTNERS
MN
Enumeration date
09/20/2006
Last updated
12/21/2021
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