Active NPI
Philicity Kae Messman, LICSW
- Clinical Social Worker
- Evansville, MN
National Provider Identifier
1295058337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9455
- Practice address
- 123 2ND Ave W
Evansville, MN 56326-2611 - Phone
- (320) 761-4306
- NPI assigned
- Mar 3, 2010
- Last updated
- Apr 16, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9455 | MN | Primary |
| School Social Worker | 1041S0200X | 9455 | MN |
Addresses
Primary practice location
123 2ND Ave W
Evansville, MN 56326-2611
Mailing address
33701 Cozy Cove Dr
Burtrum, MN 56318-4530
Phone (320) 761-4306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1295058337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33701 COZY COVE DR",
"city": "BURTRUM",
"state": "MN",
"postal_code": "563184530",
"telephone_number": "320-761-4306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 2ND AVE W",
"city": "EVANSVILLE",
"state": "MN",
"postal_code": "563262611",
"telephone_number": "320-761-4306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSMAN",
"first_name": "PHILICITY",
"middle_name": "KAE",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-03",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "9455",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MN",
"license": "9455",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.