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

Katelynn Landis

Individual provider Case Manager/Care Coordinator · NPI 1316715980

Katelynn Landis is a Clinical Social Worker in Fargo, North Dakota. Qualified in 2023, 3 years ago. Practices with Advocates for Change, a 2-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

417 Main Ave Ste 401
Fargo, ND 58103-1956
Phone: (701) 290-7772
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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
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1316715980
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 13, 2023
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023
Mailing address417 Main Ave Ste 401, Fargo, ND 58103-1956

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Advocates For Change — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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