Active NPI
Stacey Leigh Klempnauer, MSW, LICSW
- Clinical Social Worker
- Faribault, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 17614
- Practice address
- 100 State Ave
Faribault, MN 55021-6337 - Phone
- (507) 334-3921
- Fax
- (507) 384-4470
- NPI assigned
- Sep 25, 2006
- Last updated
- Aug 20, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 17614 | MN | Primary |
Addresses
Primary practice location
100 State Ave
Faribault, MN 55021-6337
Mailing address
312 Sumner St E
Northfield, MN 55057-2843
Phone (507) 645-0444
Other practice location 1
220 Division St S
Suite 301
Northfield, MN 55057-2046
Phone (507) 645-0444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51-0590572 | Other | MN | FEIN |
| 528658100 | Medicaid | MN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
400 Washington St
Northfield, MN 55057-2027
Phone (507) 645-0444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17614 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stacey Klempnauer MSW, Licsw Inc | Clinical | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Centered Practice | Past | Accepting new patients |
Locations
100 State Ave
Faribault, MN 55021
Phone (507) 334-3921
400 Washington St
Northfield, MN 55057
Phone (507) 645-0444
402 Washington St
Northfield, MN 55057
Phone (507) 301-1982
Organizations & group practices 5
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.
-
- Clinical Social Worker
- Northfield, MN
- NPI 1346850518
-
dba Allina Health Annandale Clinic
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
dba Allina Health TeleRheumatology
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
dba Allina Health Savage Clinic
- Family Medicine Physician
- Savage, MN
- NPI 1952343691
-
- Community/Behavioral Health Agency
- Northfield, MN
- NPI 1235428665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1528169554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 SUMNER ST E",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550572843",
"telephone_number": "507-645-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 STATE AVE",
"city": "FARIBAULT",
"state": "MN",
"postal_code": "550216337",
"telephone_number": "507-334-3921",
"fax_number": "507-384-4470"
}
],
"practiceLocations": [
{
"address_1": "220 Division St S",
"address_2": "Suite 301",
"address_purpose": "LOCATION",
"city": "Northfield",
"state": "MN",
"postal_code": "550572046",
"country_code": "US",
"telephone_number": "507-645-0444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLEMPNAUER",
"first_name": "STACEY",
"middle_name": "LEIGH",
"name_prefix": "Ms.",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "17614",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEIN",
"identifier": "51-0590572",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "528658100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Faribault, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.