NPIMap

Individual provider Active NPI

Keith B Block, LICSW

  • Clinical Social Worker
  • Minnetonka, MN
National Provider Identifier
1558751933
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26533 Issued in MN
Practice address
10201 Wayzata Blvd Ste 100
Minnetonka, MN 55305-1500
Phone
(952) 544-6806
Fax
(952) 545-0098
NPI assigned
Jan 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 26533 MN Primary
Clinical Social Worker 1041C0700X 5251 SD

Addresses

Primary practice location

10201 Wayzata Blvd Ste 100
Minnetonka, MN 55305-1500

Mailing address

10201 Wayzata Blvd Ste 100
Minnetonka, MN 55305-1500
Phone (952) 544-6806

Other practice location 1

6215 S Cliff Ave
Sioux Falls, SD 57108-8596
Phone (605) 322-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150310002318 SD Practitioner - Clinical Social Worker 3779809769 Reassigns benefits to 1 organization
I20200304001279 MN Practitioner - Clinical Social Worker 3779809769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

6215 S Cliff Ave
Sioux Falls, SD 57108-8596
Phone (605) 322-3300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Jul 12, 2021 Accepting new patients
Western Mental Health Center, Inc. CurrentSince Feb 1, 2020 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Jul 12, 2021 Accepting new patients

Locations

1212 E College Dr
Marshall, MN 56258
Phone (507) 532-3236

6215 S Cliff Ave
Sioux Falls, SD 57108
Phone (605) 322-1530

1200 S 7th Ave
Sioux Falls, SD 57105
Phone (605) 336-2140

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/wmhcinc/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1558751933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 WAYZATA BLVD STE 100",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051500",
            "telephone_number": "952-544-6806",
            "fax_number": "952-545-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 WAYZATA BLVD STE 100",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051500",
            "telephone_number": "952-544-6806",
            "fax_number": "952-545-0098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6215 S Cliff Ave",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571088596",
            "country_code": "US",
            "telephone_number": "605-322-3300",
            "fax_number": "605-322-3301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOCK",
        "first_name": "KEITH",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-23",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "26533",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "5251",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.