Individual provider Active NPI

Kelsey Ann Dadson, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1952913014
Registry record updated Jun 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28286 Issued in MN
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

Updated by the provider on Jun 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
12248479-3502UTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Integrative Center for Psychology LLC CurrentSince May 14, 2023 Accepting new patients
Optum Behavioral Care of Colorado PC PastSince Sep 11, 2023 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.

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

Verify at the official NPI Registry.