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KATELYN CONNOLLY
NPI 1417562299
Social Worker - Clinical in North Branch, MN

Active since September 09, 2020
38868 12TH AVE # 2021, NORTH BRANCH, MN 55056(507) 565-6633 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 9, 2023, Nov 3, 2022, Aug 31, 2022 and 3 more (6 updates tracked since 2020).

About Katelyn Connolly NPPES

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

KATELYN CONNOLLY (NPI 1417562299) is an individual clinical provider in North Branch, Minnesota, licensed in Minnesota (26289) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1417562299
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATELYN CONNOLLY
Location Address38868 12TH AVE # 2021North Branch, MN 55056-6658
Mailing Address38868 12th Ave # 2021North Branch, MN 55056-6658 · (507) 427-6515
Phone(507) 565-6633
Sole ProprietorNo
Enumeration DateSeptember 9, 2020
Last NPPES UpdateOctober 9, 20236 updates tracked since enumeration
NPPES CertifiedOctober 9, 2023
✔ NPI 1417562299 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 · 26289
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.
38868 12TH AVE # 2021, North Branch, MN 55056
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Other Providers at the Same Location NPPES

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

CHASING CALM WATERS PSYCHOTHERAPY LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
38868 12TH AVE # 2021
NORTH BRANCH, MN 55056
Chisago County (507) 565-6633

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 Katelyn Connolly's NPI number?

The NPI number for Katelyn Connolly is 1417562299. It was assigned to this individual provider in the NPPES registry on September 9, 2020.

Where is Katelyn Connolly located?

Katelyn Connolly practices at 38868 12th Ave # 2021, North Branch, MN 55056. The listed phone number is (507) 565-6633.

What is Katelyn Connolly's specialty?

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

When was this NPI record last updated?

The NPPES record for Katelyn Connolly was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.