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

Individual provider Clinical Social Worker · NPI 1821439910

Kathryn Laura Vaudreuil, LICSW is a Clinical Social Worker in Saint Paul, Minnesota. Qualified in 1997, 29 years ago. Practices with Fairview Express Care, a 1,964-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
29
Licensed in
MN
In the registry since
2013
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

45 10th St W
Saint Paul, MN 55102-1062 Not confirmed with CMS for 13 years — call before visiting
Phone: (651) 232-3000
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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 10648 (MN)

Record details

NPI number1821439910
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 17, 2013
Last updated in NPPESJuly 17, 2013

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Fairview Express Care

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1964 clinicians in the practice; 12 are shown here.

Other providers in Saint Paul