Kiara Westendorf, LICSW
Individual provider Active NPI Clinical Social Worker · Cook, MN
NPI 1750119160 · NPPES record last updated Jul 25, 2024
Key facts
- NPI
- 1750119160
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 30791 (MN)
- Practice address
- 20 5TH St SE
Cook, MN 55723-9702 - Phone
- (218) 666-5941
- NPI assigned
- Jul 25, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cook Area Health Services, Inc
Practice addresses (Care Compare)
20 5TH St SE
Cook, MN 55723-9702
Phone (218) 666-5941
239 McKinley Ave
Eveleth, MN 55734-1606
415 N 2ND St
Suite 2
Tower, MN 55790-2103
Phone (218) 753-2405
810 Poplar St
Floodwood, MN 55736-0426
Phone (218) 476-2221
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250122002915 | MN | Practitioner - Clinical Social Worker | 5597294439 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30791 | MN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Area Health Services, Inc | Current |
Accepting new patients | |
| Cook Area Health Services, Inc | Current |
Accepting new patients |
Locations
20 5th St SE
Cook, MN 55723
Phone (218) 666-5941
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 30791 | MN | Yes |
Addresses
Primary practice location
20 5TH St SE
Cook, MN 55723-9702
Mailing address
20 5TH St SE
Cook, MN 55723-9702
Phone (218) 666-5941
Other providers in Cook, MN
- Duane Mathew Sushoreba
- Michael Morris Talberg
- True Care Medical Therapy Center Inc
- Turning Point Counseling PA
- Fred Lawrence Webber
- Robert Alan Wightman
- Emily Kate Wild
- Celin R Williams
All providers in Cook, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.