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

Individual provider Clinical Social Worker · NPI 1659914158

Mrs. Katie Jane Rubischko, LICSW is a Clinical Social Worker in Apple Valley, Minnesota. Qualified in 2017, 9 years ago. Practices with Iris Mental Health, LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2019
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

14665 Galaxie Ave Ste 140
Apple Valley, MN 55124-4509
Phone: (651) 456-8494
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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 14120 (MN)

Record details

NPI number1659914158
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedOctober 28, 2019
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Iris Mental Health, Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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