Active NPI
Kelsey Suzanna Kreider Starrs, MSW, LICSW, CDW-F
- Clinical Social Worker
- Minneapolis, MN
National Provider Identifier
1871897355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19329
- Practice address
- 6 E 45TH St
Minneapolis, MN 55419-5026 - Phone
- (612) 220-2757
- Fax
- (612) 435-1400
- NPI assigned
- Dec 27, 2010
- 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 | 19329 | MN | Primary |
Addresses
Primary practice location
6 E 45TH St
Minneapolis, MN 55419-5026
Mailing address
4732 Colfax Ave S
Minneapolis, MN 55419-5318
Phone (612) 220-2757
Other practice location 1
4732 Colfax Ave S
Minneapolis, MN 55419-5318
Phone (612) 220-2757
Other practice location 2
4801-1/2 Nicollet Ave S
Minneapolis, MN 55419-1534
Phone (612) 220-2757
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120124000096 | MN | Practitioner - Clinical Social Worker | 7719154236 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kreider Starrs Consulting, LLC | Clinical | Current | Accepting new patients |
Locations
4306 Bryant Ave S
Minneapolis, MN 55409
Phone (612) 822-3925
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": "1293408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1871897355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4732 COLFAX AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554195318",
"telephone_number": "612-220-2757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 E 45TH ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554195026",
"telephone_number": "612-220-2757",
"fax_number": "612-435-1400"
}
],
"practiceLocations": [
{
"address_1": "4732 Colfax Ave S",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554195318",
"country_code": "US",
"telephone_number": "612-220-2757",
"fax_number": "612-435-1400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4801-1/2 Nicollet Ave S",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554191534",
"country_code": "US",
"telephone_number": "612-220-2757",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KREIDER STARRS",
"first_name": "KELSEY",
"middle_name": "SUZANNA",
"name_prefix": "Ms.",
"credential": "MSW, LICSW, CDW-F",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-27",
"last_updated": "2021-04-05",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "19329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.