Kirstina Emans, MSW, LICSW
Individual provider Active NPI Clinical Social Worker · Staples, MN
NPI 1366825614 · NPPES record last updated Jul 6, 2026
Key facts
- NPI
- 1366825614
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 18277 (MN)
- Practice address
- 49725 County 83
Staples, MN 56479-5280 - Phone
- (218) 894-1515
- Fax
- (218) 894-8767
- NPI assigned
- Jul 6, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lakewood Health System
Practice addresses (Care Compare)
49725 County
Staples, MN 56479-5280
Phone (218) 894-1515
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161103000115 | MN | Practitioner - Clinical Social Worker | 8224316740 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18277 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Current |
Accepting new patients | |
| KQ Consulting, LLC | Clinical | Current |
Accepting new patients |
| Lakewood Health System | Current |
Accepting new patients | |
| Lakewood Health System | Current |
Accepting new patients | |
| Lakewood Health System | Current |
Accepting new patients | |
| Lakewood Health System | Current | Accepting new patients |
Locations
729 Washington Ave N
Ste 600
Minneapolis, MN 55401
Phone (334) 463-3099
653 Pillsbury St N
Ste 1
Pillager, MN 56473
Phone (218) 746-4550
49725 County 83
Staples, MN 56479
Phone (218) 894-1033
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 18277 | MN | Yes |
Addresses
Primary practice location
49725 County 83
Staples, MN 56479-5280
Mailing address
49725 County 83
Staples, MN 56479-5280
Phone (218) 894-1515
Other names
- Kirstina Quast
Other providers in Staples, MN
- Karen Lynn Dornbusch
- Constance L Dubois
- Anna Corinne Ehnstrom
- Mattie Rose Ellenson
- Jody Ellingson
- Essentially Life LLC
- Essilor Laboratories of America, Inc
- Jesse Fenstermacher
- Madecyn Caroline Franz
- David Allan Freeman
All providers in Staples, 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 Jul 6, 2026. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.