Individual provider Active NPI

Cynthia Jill Klein, MSW, LCSW LICSW

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1497898423
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9725 Issued in MN
Practice address
2639 Aldrich Ave S Apt 101
Minneapolis, MN 55408-1312
Phone
(808) 358-9578
Fax
(612) 999-2724
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2024

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 9725 MN Primary

Addresses

Primary practice location

2639 Aldrich Ave S Apt 101
Minneapolis, MN 55408-1312

Mailing address

2639 Aldrich Ave S Apt 101
Minneapolis, MN 55408-1312
Phone (808) 358-9578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120315000102 HI Practitioner - Clinical Social Worker 7911802517 Practice locations: Kaneohe, HI
I20230530002066 MN Practitioner - Clinical Social Worker 7911802517 Practice locations: Minneapolis, MN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1477 W Lake St
Unit 613
Minneapolis, MN 55408-5118

2124 Dupont Ave S
St 401
Minneapolis, MN 55405-2700
Phone (808) 358-9578

2639 Aldrich Ave S
Apt 101
Minneapolis, MN 55408-1312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
2648WIMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates Inc Past 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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1497898423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 ALDRICH AVE S APT 101",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081312",
            "telephone_number": "808-358-9578",
            "fax_number": "612-999-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 ALDRICH AVE S APT 101",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081312",
            "telephone_number": "808-358-9578",
            "fax_number": "612-999-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "CYNTHIA",
        "middle_name": "JILL",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "9725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.