Individual provider Active NPI

Stephanie Lee Trejo, LICSW

  • Clinical Social Worker
  • Mankato, MN
National Provider Identifier
1467315077
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28325 Issued in MN
Practice address
226 N Broad St
Mankato, MN 56001-3520
Phone
(651) 661-7436
NPI assigned
Dec 9, 2025
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 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 28325 MN Primary

Addresses

Primary practice location

226 N Broad St
Mankato, MN 56001-3520

Mailing address

1739 Pleasant View Dr
North Mankato, MN 56003-1618
Phone (651) 661-7436

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
I20260212003699 MN Practitioner - Clinical Social Worker 9335629070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1306 Marshall St
Saint Peter, MN 56082-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28325MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Services of Southern Minnesota, Inc Clinical CurrentSince Dec 31, 2025 Accepting new patients

Locations

226 N Broad St
Mankato, MN 56001
Phone (507) 931-8040

1306 Marshall St
Saint Peter, MN 56082
Phone (507) 931-8040

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1765238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1467315077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 PLEASANT VIEW DR",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560031618",
            "telephone_number": "651-661-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 N BROAD ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013520",
            "telephone_number": "651-661-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREJO",
        "first_name": "STEPHANIE",
        "middle_name": "LEE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.