Allison Kirk, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14731 Issued in MN

Practice address

7582 Currell Blvd Ste 208
Counseling Psychologists of Woodbury
Woodbury, MN 55125-2262

Phone

(651) 739-7539

Fax

(651) 730-9200

NPI assigned

Jul 19, 2016

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 21, 2024 through May 21, 2028

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.

• Natalis Counseling and Psychology Solutions, P.a.

  • Psychologist
  • Saint Paul, MN
  • NPI 1447369673
  NPD

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1255784823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7582 CURRELL BLVD STE 208",
            "address_2": "COUNSELING PSYCHOLOGISTS OF WOODBURY",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252262",
            "telephone_number": "651-739-7539",
            "fax_number": "651-730-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7582 CURRELL BLVD STE 208",
            "address_2": "COUNSELING PSYCHOLOGISTS OF WOODBURY",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252262",
            "telephone_number": "651-739-7539",
            "fax_number": "651-730-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1771 Payne Ave",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MN",
            "postal_code": "551172517",
            "country_code": "US",
            "telephone_number": "651-263-1816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRK",
        "first_name": "ALLISON",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "14731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George J Kinney, Jr., D.D.S.
• Renee M Kinney, DDS
• Andrea May Kirchner
• Jamie K Kirchoff, AU.D., CCC-A
• Kirk M Nelson DC LLC
• Nicole E Kirkpatrick
• Elumba John Kitengie
• Brenda L Kittilson, MS LPC
• Aryana Christine Klaren
• Torin S Klebba

• Clinical Social Worker in Woodbury, MN
• Providers in Woodbury, 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 May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.