Kreider Starrs Consulting, LLC
Organization Active NPI Clinical Social Worker · Minneapolis, MN
NPI 1194222489 · NPPES record last updated Apr 5, 2021
Key facts
- NPI
- 1194222489
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 19329 (MN)
- Legal business name
- KREIDER STARRS CONSULTING, LLC
- Practice address
- 6 E 45TH St
Minneapolis, MN 55419-5026 - Phone
- (612) 220-2757
- Fax
- (612) 435-1400
- NPI assigned
- Apr 12, 2018
- Organization subpart
- No
Authorized official
- Name
- Kelsey Kreider Starrs, MSW, LICSW, CDW-F
- Title
- Owner
- Phone
- (612) 220-2757
Practitioners 3
-
Kelsey Suzanna Kreider Starrs, MSW, LICSW, CDW-F
-
Melissa Anderson, MA, LMFT
-
Jennifer Nelson, MA, LPCC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180808002286 | MN | Part B Supplier - Clinic/Group Practice | 8224386149 |
Receives reassigned benefits from 1 practitioner Practice locations: Minneapolis, MN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 19329 | MN | Yes |
Addresses
Primary practice location
6 E 45TH St
Minneapolis, MN 55419-5026
Mailing address
4732 Colfax Ave S
Minneapolis, MN 55419-5318
Phone (612) 220-2757
Other practice location 1
4801-1/2 Nicollet Ave S
Minneapolis, MN 55419-1709
Phone (612) 220-2757
Other names
- Water of Life
Other providers in Minneapolis, MN
- Erin E Krebs
- Jacqueline Marie Krech
- Kayleigh Krech
- McKenna Logan Kreger
- Margaret Lois Kreider Carlson
- Kelsey Suzanna Kreider Starrs
- Kelly Kreimer
- Jodi L Kreiser
- Kathleen Marian Kreitzer
- Amanda Rene Kremer
All providers in Minneapolis, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.