Katherine Rose Haberkorn, LICSW
Social Worker, Clinical in Baxter, MN. Individual provider (NPI-1).
NPI number1013401546
StatusActive
Last updated in NPPESFeb 19, 2024
Details
- NPI
- 1013401546
- Entity type
- Individual (NPI-1)
- Name
- Katherine Rose Haberkorn
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2018
- Certification date
- Feb 19, 2024
- Last updated
- Feb 19, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 19228 | MN | Yes |
Practice location
13045 Falcon Dr Ste 100Baxter, MN 56425-4201
Phone 218-829-9307 · Fax 218-829-7649
Mailing address
1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789
Phone 651-628-9566 · Fax 651-628-0411
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinical Social Worker providers in Baxter, MN
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All 30 Clinical Social Worker providers in Baxter · All 714 providers in Baxter
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