Individual provider Active NPI

Pamela Leigh Dehkes, LICSW

  • Social Worker
  • St. Louis Park, MN
National Provider Identifier
1326160573
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
15432 Issued in MN
Practice address
715 Florida Ave S
Suite 307
St. Louis Park, MN 55426
Phone
(952) 544-6806
Fax
(952) 545-0098
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 15432 MN Primary

Addresses

Primary practice location

715 Florida Ave S
Suite 307
St. Louis Park, MN 55426

Mailing address

715 Florida Ave S Ste 307
St Louis Park, MN 55426-1759
Phone (952) 544-6806

Other practice location 1

1915 Lyndale Ave S
Minneapolis, MN 55403-3380
Phone (800) 336-5973 ext. 2

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@catalystmentalhealth.com Catalyst Mental Health, GBC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120709000230 MN Practitioner - Clinical Social Worker 0143485649 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15432MNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Mental Health, GBC CurrentSince Jun 5, 2022 Accepting new patients
Catalyst Mental Health, GBC CurrentSince Jun 5, 2022 Accepting new patients

Locations

1915 Lyndale Ave S
Minneapolis, MN 55403
Phone (800) 336-5973

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1326160573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 FLORIDA AVE S STE 307",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554261759",
            "telephone_number": "952-544-6806",
            "fax_number": "952-545-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 FLORIDA AVE S",
            "address_2": "SUITE 307",
            "city": "ST. LOUIS PARK",
            "state": "MN",
            "postal_code": "55426",
            "telephone_number": "952-544-6806",
            "fax_number": "952-545-0098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1915 Lyndale Ave S",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554033380",
            "country_code": "US",
            "telephone_number": "800-336-5973 x2",
            "fax_number": "612-234-4689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEHKES",
        "first_name": "PAMELA",
        "middle_name": "LEIGH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "15432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@catalystmentalhealth.com",
            "affiliation": "Y",
            "endpointDescription": "info@catalystmentalhealth.com",
            "affiliationName": "Catalyst Mental Health, GBC",
            "address_1": "1915 Lyndale Ave S",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554033380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St. Louis Park, MN

Sources for this page

Verify at the official NPI Registry.