Michelle Austin, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17800 Issued in MN

Practice address

2104 Park Ave
Minneapolis, MN 55404-6607

Phone

(952) 649-0512

NPI assigned

Nov 23, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, WI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• River Crossings Counseling and Consulting LLC

  • Community/Behavioral Health Agency
  • Lake City, MN
  • NPI 1609489517
  Medicare reassignment NPD Authorized official
• Hashi Consulting LLC

  • Clinic/Center
  • Minneapolis, MN
  • NPI 1679273759
  Medicare reassignment NPD
• Allina Health System

  • Emergency Medicine Physician
  • River Falls, WI
  • NPI 1578507513
  Medicare reassignment NPD
• Allina Health System

  • Neurological Surgery Physician
  • Saint Paul, MN
  • NPI 1619914207
  NPD
• Allina Health System

  • Rheumatology Physician
  • Coon Rapids, MN
  • NPI 1952146516
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1114391513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LYON AVE",
            "city": "LAKE CITY",
            "state": "MN",
            "postal_code": "550411014",
            "telephone_number": "507-474-1985",
            "fax_number": "507-474-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554046607",
            "telephone_number": "952-649-0512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Lyon Ave",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "MN",
            "postal_code": "550411014",
            "country_code": "US",
            "telephone_number": "507-474-1985",
            "fax_number": "507-474-0345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "17800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Broderick Austin
• Jane Marie Austin
• Jataun Austin
• Leah Austin, LMFT
• Mary I Austin
• Misty Rose Austin, PT
• Rebekah Pulju Austin
• Rupa Polam Austria, MD
• Authentic Living Services LLC
• Authentic Roots Therapy PLLC

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.