Individual provider Active NPI

Stacey Leigh Klempnauer, MSW, LICSW

  • Clinical Social Worker
  • Faribault, MN
National Provider Identifier
1528169554
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17614 Issued in MN
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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 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

IdentifierTypeStateIssuer
51-0590572OtherMNFEIN
528658100MedicaidMN

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
I20061013000456 MN Practitioner - Clinical Social Worker 2567468515 Reassigns benefits to 2 organizations
Practice locations: Northfield, MN

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

LicenseStateTypeSpecialty
17614MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stacey Klempnauer MSW, Licsw Inc Clinical CurrentSince Jul 21, 2020 Accepting new patients
Allina Health System CurrentSince Apr 1, 2026 Accepting new patients
Allina Health System CurrentSince Apr 1, 2026 Accepting new patients
Centered Practice PastSince Aug 22, 2011 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.

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

Verify at the official NPI Registry.