Individual provider Active NPI

Kari Marie Kleven, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1568790079
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11494 Issued in MN
Practice address
3011 36TH Ave S Ste 7
Minneapolis, MN 55406-2800
Phone
(612) 562-1252
NPI assigned
Nov 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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 11494 MN Primary

Addresses

Primary practice location

3011 36TH Ave S Ste 7
Minneapolis, MN 55406-2800

Mailing address

4437 47TH Ave S
Minneapolis, MN 55406-3622
Phone (612) 562-1252

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
I20220223002688 MN Practitioner - Clinical Social Worker 0042604704 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Minneapolis Nature-Based Therapy Clinical CurrentSince Sep 6, 2020 Accepting new patients
Rosemary Frazel LLC CurrentSince Jul 24, 2022 Accepting new patients
Washburn Center for Children PastSince Dec 1, 2021 Accepting new patients

Locations

3011 36th Ave S
Ste 7
Minneapolis, MN 55406
Phone (612) 351-4846

Organizations & group practices 3

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": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1568790079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4437 47TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063622",
            "telephone_number": "612-562-1252",
            "fax_number": "612-871-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 36TH AVE S STE 7",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062800",
            "telephone_number": "612-562-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEVEN",
        "first_name": "KARI",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-20",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "11494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.