Organization Active NPI

Rachel Kremer Licsw

  • Clinical Social Worker
  • Duluth, MN
National Provider Identifier
1407125354
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12821 Issued in MN
Legal business name
RACHEL KREMER LICSW
Practice address
302 W Superior St Ste 305
Duluth, MN 55802-5125
Phone
(218) 606-0540
NPI assigned
Dec 21, 2011
Last updated
Jul 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Rachel Yvonne Lund Kremer, LICSW, MSWNPI 1679602460
Title
Clinical Social Worker
Phone
(612) 822-4539

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12821 MN Primary

Addresses

Primary practice location

302 W Superior St Ste 305
Duluth, MN 55802-5125

Mailing address

2450 Stevens Ave
Minneapolis, MN 55404-3529
Phone (612) 822-4539

Other identifiers 1

IdentifierTypeStateIssuer
630993300MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250814003140 MN Part B Supplier - Clinic/Group Practice 7315446606 Receives reassigned benefits from 1 practitioner
Practice locations: Duluth, MN

National Provider Directory

National Provider Directory

Locations

302 W Superior St
Ste 305
Duluth, MN 55802
Phone (218) 606-0540

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1407125354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 STEVENS AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043529",
            "telephone_number": "612-822-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W SUPERIOR ST STE 305",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558025125",
            "telephone_number": "218-606-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL KREMER LICSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "KREMER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "YVONNE LUND",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "612-822-4539",
        "authorized_official_credential": "LICSW, MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "12821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630993300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.