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

MS. Kathy Marie Smith, LICSW

Individual provider Clinical Social Worker · NPI 1285170530

MS. Kathy Marie Smith, LICSW is a Clinical Social Worker in Fargo, North Dakota. Graduated from University of Wisconsin School of Medicine in 1986, 40 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
40
Trained at
University of Wisconsin School of Medicine
Licensed in
ND
In the registry since
2017
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

801 Broadway N
Fargo, ND 58102-3641
Phone: (701) 234-2000
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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 732 (ND)

Record details

NPI number1285170530
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJanuary 10, 2017
Last updated in NPPESJanuary 10, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 1986 (40 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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