KATHRYN GANDOLPH LICSW
NPI 1891060562
Social Worker - Clinical in Saint Paul, MN

Active since March 14, 2012
2230 COMO AVE, SAINT PAUL, MN 55108(651) 645-5323(651) 641-6190 Get Directions Write a Review

NPPES record last updated: March 14, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kathryn Gandolph Licsw NPPES

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

KATHRYN GANDOLPH LICSW (NPI 1891060562) is an individual clinical provider in Saint Paul, Minnesota, licensed in Minnesota (19844) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1891060562
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHRYN GANDOLPHCredential: LICSW
Location Address2230 COMO AVESaint Paul, MN 55108-1720
Mailing Address2230 Como AveSaint Paul, MN 55108-1720 · (651) 645-5323 · Fax (651) 641-6190
Fax(651) 641-6190
Sole ProprietorNo
Enumeration DateMarch 14, 2012
NPI 1891060562 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 · 19844
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.
2230 COMO AVE, Saint Paul, MN 55108

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.

Social Worker
2230 COMO AVE
SAINT PAUL, MN 55108
Counselor (Mental Health)
2230 COMO AVE
SAINT PAUL, MN 55108
Student in an Organized Health Care Education/Training Program
2230 COMO AVE
SAINT PAUL, MN 55108
Dietitian, Registered
2230 COMO AVE
SAINT PAUL, MN 55108
Marriage & Family Therapist
2230 COMO AVE
SAINT PAUL, MN 55108
Community Based Residential Treatment Facility, Mental Illness
2230 COMO AVE
SAINT PAUL, MN 55108
Dietitian, Registered
2230 COMO AVE
SAINT PAUL, MN 55108
Counselor (Professional)
2230 COMO AVE
SAINT PAUL, MN 55108

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 Kathryn Gandolph's NPI number?

The NPI number for Kathryn Gandolph is 1891060562. It was assigned to this individual provider in the NPPES registry on March 14, 2012.

Where is Kathryn Gandolph located?

Kathryn Gandolph practices at 2230 Como Ave, Saint Paul, MN 55108. The listed phone number is (651) 645-5323.

What is Kathryn Gandolph'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 Kathryn Gandolph was last updated on March 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.