Individual provider Active NPI

Samantha Kaiser, LICSW

  • Clinical Social Worker
  • Edina, MN
National Provider Identifier
1346038635
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27511 Issued in MN
Practice address
5912 Oaklawn Ave
Edina, MN 55424-1920
Phone
(701) 212-9567
NPI assigned
Apr 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 27511 MN Primary

Addresses

Primary practice location

5912 Oaklawn Ave
Edina, MN 55424-1920

Mailing address

5912 Oaklawn Ave
Edina, MN 55424-1920
Phone (701) 212-9567

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
I20250915000193 MN Practitioner - Clinical Social Worker 4688177603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orka Health and Wellness PLLCGroup PAC ID 9830595545, 8 clinicians

Practice addresses (Care Compare)

6804 Iroquois Cir
Edina, MN 55439-1014
Phone (612) 564-9772

6804 Iroquois Circle
Edina, MN 55439-1014

6894 Iroquois Cir
Edina, MN 55439-1014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27511MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Orka Health and Wellness, PLLC Clinical CurrentSince Aug 8, 2025 Accepting new patients

Organizations & group practices 1

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": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1346038635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5912 OAKLAWN AVE",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241920",
            "telephone_number": "701-212-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5912 OAKLAWN AVE",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241920",
            "telephone_number": "701-212-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER",
        "first_name": "SAMANTHA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "27511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.