Individual provider · Type 1 NPI

Katelyn Sarah Kubista, MSW, LICSW

Clinical Social Worker · Plymouth, MN

NPI number 1023907276 Active

Practice location

10000 Hwy 55 Ste 200
Plymouth, MN 55441-6433

Call (586) 707-7085 Map

Mailing address

976 Pacific St
St. Paul, MN 55106-6324

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X31140 (MN)

Clinical Social Worker: 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 interpers…

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About NPI 1023907276

Katelyn Sarah Kubista, MSW, LICSW's National Provider Identifier is 1023907276, issued on Jul 1, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Plymouth, MN. The record was last updated on Jul 1, 2025.