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

Individual provider Clinical Social Worker · NPI 1891060562

Kathryn Gandolph, LICSW is a Clinical Social Worker in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2012.

Licensed in
MN
In the registry since
2012
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

2230 Como Ave
Saint Paul, MN 55108-1720
Phone: (651) 645-5323
Fax: (651) 641-6190
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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 19844 (MN)

Record details

NPI number1891060562
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMarch 14, 2012
Last updated in NPPESMarch 14, 2012

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