Active NPI
Kiley Rae Pronschinske, MSW, LICSW
- Clinical Social Worker
- Duluth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 28199
- Practice address
- 810 E 4TH St
Duluth, MN 55805-2147 - Phone
- (218) 624-5683
- Fax
- (218) 624-5736
- NPI assigned
- Jan 3, 2022
- Last updated
- Jan 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 28199 | MN | Primary |
Addresses
Primary practice location
810 E 4TH St
Duluth, MN 55805-2147
Mailing address
1401 East 1St Street
Duluth, MN 55805-2407
Phone (218) 728-4491
Other practice location 1
1401 East 1st Street
Duluth, MN 55805-2407
Phone (218) 728-4491
Other practice location 2
325 11th Ave
Two Harbors, MN 55616-1300
Phone (218) 834-5520
Other practice location 3
40 11th St
Cloquet, MN 55720-1817
Phone (218) 879-4559
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.63 of 100
- Quality
- 75.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Current | Accepting new patients | |
| Brightwater Health Dba Human Development Center | Current | Accepting new patients | |
| Affinity Psychological Services, P.C. | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Brightwater Health Dba Human Development Center | Past | Accepting new patients |
Locations
40 11th St
Cloquet, MN 55720
Phone (218) 879-4559
1401 E 1st St
Duluth, MN 55805
Phone (218) 728-4491
810 E 4th St
Duluth, MN 55805
Phone (218) 728-4491
3605 Mayfair Ave
Hibbing, MN 55746
Phone (218) 262-3441
750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
7401 Metro Blvd
Ste 525
Minneapolis, MN 55439
402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858
3400 1st St N
Ste 101
Saint Cloud, MN 56303
Phone (320) 202-2000
7551 9th St N
Ste 100
Saint Paul, MN 55128
Phone (651) 747-4328
325 11th Ave
Two Harbors, MN 55616
Phone (218) 834-5520
629 1st Ave
Two Harbors, MN 55616
Phone (218) 834-5520
5200 Fairview Blvd
Wyoming, MN 55092
Phone (651) 464-4611
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/humandevelopmentcenter/r4/
Organizations & group practices 9
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.
-
- Mental Health Counselor
- Edina, MN
- NPI 1245610856
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Duluth, MN
- NPI 1194790733
-
dba M Health Fairview Recovery Clinic
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Clinic/Center
- Hibbing, MN
- NPI 1669569265
-
dba Fairview Clinics Specialty
- General Practice Physician
- Saint Paul, MN
- NPI 1346722675
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- General Acute Care Hospital
- Hibbing, MN
- NPI 1356321699
-
dba HealthLine Medical Supply
- Durable Medical Equipment & Medical Supplies
- International Falls, MN
- NPI 1710954821
-
- Community/Behavioral Health Agency
- Cloquet, MN
- NPI 1114048527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1811658727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 EAST 1ST STREET",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052407",
"telephone_number": "218-728-4491",
"fax_number": "218-302-8698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 E 4TH ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052147",
"telephone_number": "218-624-5683",
"fax_number": "218-624-5736"
}
],
"practiceLocations": [
{
"address_1": "1401 East 1st Street",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "MN",
"postal_code": "558052407",
"country_code": "US",
"telephone_number": "218-728-4491",
"fax_number": "218-302-8698",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "325 11th Ave",
"address_purpose": "LOCATION",
"city": "Two Harbors",
"state": "MN",
"postal_code": "556161300",
"country_code": "US",
"telephone_number": "218-834-5520",
"fax_number": "218-834-4264",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "40 11th St",
"address_purpose": "LOCATION",
"city": "Cloquet",
"state": "MN",
"postal_code": "557201817",
"country_code": "US",
"telephone_number": "218-879-4559",
"fax_number": "218-879-0282",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRONSCHINSKE",
"first_name": "KILEY",
"middle_name": "RAE",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-03",
"last_updated": "2022-01-03",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "28199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.