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

Kandee Kubat Timmerman, LICSW

Individual provider Clinical Social Worker · NPI 1437248713

Kandee Kubat Timmerman, LICSW is a Clinical Social Worker in Saint Paul, Minnesota. Qualified in 1997, 29 years ago. Practices with Stacia Hanson MA LP LLC, an 8-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
29
Licensed in
MN
In the registry since
2006
What do these letters mean?
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

1404 Idaho Ave E
Saint Paul, MN 55106-1218
Phone: (612) 251-1753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1197 Grand Ave, Saint Paul, MN 55105-2634 — (763) 703-4215
  • 4444 Centerville Rd Ste 235, White Bear Lake, MN 55127-3712 — (651) 289-9396

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 15043 (MN)

Record details

NPI number1437248713
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESFebruary 2, 2024
Certification dateFebruary 2, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Stacia Hanson Ma Lp Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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