Individual provider Active NPI

Karen Lee Eckstrom, LICSW

  • Social Worker
  • Edina, MN
National Provider Identifier
1598083404
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
10192 Issued in MN
Practice address
7401 Metro Blvd Ste 145
Edina, MN 55439-3061
Phone
(952) 913-5403
Fax
(952) 831-9000
NPI assigned
May 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 10192 MN Primary

Addresses

Primary practice location

7401 Metro Blvd Ste 145
Edina, MN 55439-3061

Mailing address

7401 Metro Blvd Ste 145
Edina, MN 55439-3061
Phone (952) 913-5403

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
I20111007000419 MN Practitioner - Clinical Social Worker 4486826823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Minnesota Medical School, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7401 Metro Blvd
Suite 145
Edina, MN 55439-3061
Phone (952) 913-5403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Edina Comfort Care Mental Health Walk-in Clinic LLC Social Worker CurrentSince Jul 30, 2011 Accepting new patients

Locations

7401 Metro Blvd
Ste 145
Edina, MN 55439
Phone (952) 913-5403

7300 France Ave S
Ste 208
Edina, MN 55435
Phone (952) 913-5403

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": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1598083404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 METRO BLVD STE 145",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393061",
            "telephone_number": "952-913-5403",
            "fax_number": "952-831-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 METRO BLVD STE 145",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393061",
            "telephone_number": "952-913-5403",
            "fax_number": "952-831-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKSTROM",
        "first_name": "KAREN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "10192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.