CAROLINE (KATE) GOURLEY LICSW
NPI 1336508951
Social Worker - Clinical in Maple Grove, MN

Q: What is Caroline (kate) Gourley's NPI number?

The NPI number for Caroline (kate) Gourley is 1336508951. It was assigned to this individual provider in the NPPES registry on February 11, 2016.

Q: What is Caroline (kate) Gourley's specialty?

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

Active since February 11, 2016PECOS EnrolledAccepts Medicare Assignment

13603 80TH CIR N, MAPLE GROVE, MN 55369(763) 274-3120(763) 274-3121 Get Directions Write a Review

NPPES record last updated: February 11, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Caroline (kate) Gourley Licsw NPPES

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

CAROLINE (KATE) GOURLEY LICSW (NPI 1336508951) is an individual clinical provider in Maple Grove, Minnesota, licensed in Minnesota (19858) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1336508951

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameCAROLINE (KATE) GOURLEYCredential: LICSW

Location Address13603 80TH CIR NMaple Grove, MN 55369-8961

Mailing Address13603 80th Cir NMaple Grove, MN 55369-8961 · (763) 274-3120 · Fax (763) 274-3121

Phone(763) 274-3120

Fax(763) 274-3121

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateFebruary 11, 2016

✔ NPI 1336508951 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 · 19858

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.

13603 80TH CIR N, Maple Grove, MN 55369

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Caroline (kate) Gourley Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749579837

PECOS Enrollment IDI20160512001304

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55369 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.00 – $168.28

Typical copayment $0.00 (range $14.00 – $42.07)

Most-billed visit code NA

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Leave this field empty

Other Providers at the Same Location NPPES 20

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

DAVID M. KOSFELD LMFT

Marriage & Family Therapist