1. Home
  2. Directory
  3. Minnesota
  4. Golden Valley
  5. Social Worker
  6. NPI Profile

MALORY LYN KAITTER MSW, LICSW
NPI 1093303026
Social Worker - Clinical in Golden Valley, MN

Active since January 05, 2021Opted out of Medicare · through Jan 29, 2028
5101 OLSON MEMORIAL HWY STE 4003, GOLDEN VALLEY, MN 55422(612) 315-0019(763) 595-7293 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 11, 2023, Jan 5, 2021 (2 updates tracked since 2021).

About Malory Lyn Kaitter Msw, Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALORY LYN KAITTER MSW, LICSW (NPI 1093303026) is an individual clinical provider in Golden Valley, Minnesota, licensed in Minnesota (27274) and active in the NPI registry since January 2021. She has opted out of Medicare through January 29, 2028.

NPPES Registry Identity

NPI1093303026
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMALORY LYN KAITTERCredential: MSW, LICSW
Location Address5101 OLSON MEMORIAL HWY STE 4003Golden Valley, MN 55422-5164
Mailing Address5101 Olson Memorial Hwy Ste 4003Golden Valley, MN 55422-5164 · (612) 315-0019 · Fax (763) 595-7293
Phone(612) 315-0019
Fax(763) 595-7293
Sole ProprietorYes
Enumeration DateJanuary 5, 2021
Last NPPES UpdateJuly 11, 20232 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
✔ NPI 1093303026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 27274
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5101 OLSON MEMORIAL HWY STE 4003, Golden Valley, MN 55422
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Malory Lyn Kaitter Msw, Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 29, 2024 through January 29, 2028.

Opt-Out Effective DateJanuary 29, 2024
Opt-Out In Effect ThroughJanuary 29, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFE ATTUNED LTD
Social Worker (Clinical)
5101 OLSON MEMORIAL HWY STE 4003
GOLDEN VALLEY, MN 55422
Hennepin County (612) 315-0019

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Malory Kaitter's NPI number?

The NPI number for Malory Kaitter is 1093303026. It was assigned to this individual provider in the NPPES registry on January 5, 2021.

Where is Malory Kaitter located?

Malory Kaitter practices at 5101 Olson Memorial Hwy Ste 4003, Golden Valley, MN 55422. The listed phone number is (612) 315-0019.

What is Malory Kaitter's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Malory Kaitter enrolled in Medicare?

No. Malory Kaitter has opted out of Medicare through January 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Malory Kaitter was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.