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

Individual provider Clinical Social Worker · NPI 1639188543

Kathryn Jane Faver, LICSW is a Clinical Social Worker in Bemidji, Minnesota. Qualified in 1994, 32 years ago. Accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
32
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

522 Beltrami Ave NW Ste 17
Bemidji, MN 56601-3182
Phone: (218) 441-3631
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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 3151 (MN)

Record details

NPI number1639188543
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 7, 2006
Last updated in NPPESApril 17, 2024
Certification dateApril 3, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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