Active NPI
Kelsey Ann Dadson, LICSW
- Clinical Social Worker
- Minneapolis, MN
National Provider Identifier
1952913014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 28286
- Practice address
- 4 E 43Rd St Ste 204
Minneapolis, MN 55409-2018 - Phone
- (612) 376-7199
- NPI assigned
- Aug 20, 2020
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 12248479-3502 | UT | |
| Clinical Social Worker | 1041C0700X | 149.025574 | IL | |
| Social Worker | 104100000X | 79886 | MN | |
| Social Worker | 104100000X | 28286 | MN | |
| Clinical Social Worker | 1041C0700X | 28286 | MN | Primary |
Addresses
Primary practice location
4 E 43Rd St Ste 204
Minneapolis, MN 55409-2018
Mailing address
4 E 43Rd St Ste 204
Minneapolis, MN 55409-2018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230703002326 | IL | Practitioner - Clinical Social Worker | 0547629966 | Reassigns benefits to 1 organization |
| I20230919003787 | MN | Practitioner - Clinical Social Worker | 0547629966 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12248479-3502 | UT | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Integrative Center for Psychology LLC | Current | Accepting new patients | |
| Optum Behavioral Care of Colorado PC | Past | Accepting new patients |
Locations
900 N Shore Dr
Ste 120
Lake Bluff, IL 60044
Phone (847) 615-1698
8707 Skokie Blvd
Ste 210
Skokie, IL 60077
Phone (847) 615-1698
Organizations & group practices 2
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.
-
- Psychologist
- Edina, MN
- NPI 1336967561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781395200000",
"number": "1952913014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 E 43RD ST STE 204",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554092018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 E 43RD ST STE 204",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554092018",
"telephone_number": "612-376-7199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DADSON",
"first_name": "KELSEY",
"middle_name": "ANN",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-20",
"last_updated": "2026-06-14",
"certification_date": "2026-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "12248479-3502",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.025574",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "79886",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "28286",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "28286",
"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 Jun 14, 2026; 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.