Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Caitlin Rose Tharaldson, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1275988305

Caitlin Rose Tharaldson, MSW, LICSW is a Clinical Social Worker in Saint Paul, Minnesota. Qualified in 2013, 13 years ago. Practices with Virta Therapy Collective LLC, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
13
Licensed in
MN
In the registry since
2016
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

209 Snelling Ave N
Saint Paul, MN 55104-6326
Phone: (435) 674-9310
Fax: (435) 674-9309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 22855 (MN)

Record details

NPI number1275988305
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedApril 26, 2016
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Virta Therapy Collective Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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