Individual provider Active NPI

Kelsey Suzanna Kreider Starrs, MSW, LICSW, CDW-F

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1871897355
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19329 Issued in MN
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

Updated by the provider on Apr 5, 2021

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120124000096 MN Practitioner - Clinical Social Worker 7719154236 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kreider Starrs Consulting, LLC Clinical CurrentSince Jun 17, 2018 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

Verify at the official NPI Registry.