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MS. ALEIYA MARIELLE PENN LICSW
NPI 1043174063
Social Worker - Clinical in Minneapolis, MN

Active since December 13, 2025PECOS Enrolled
4208 PARK GLEN RD, MINNEAPOLIS, MN 55416(612) 825-4792(626) 727-7535 Get Directions Write a Review

NPPES record last updated: December 13, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Ms. Aleiya Marielle Penn Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ALEIYA MARIELLE PENN LICSW (NPI 1043174063) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (31676) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043174063
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. ALEIYA MARIELLE PENNCredential: LICSW
Location Address4208 PARK GLEN RDMinneapolis, MN 55416-4758
Mailing Address3700 Colfax Ave S Apt 2Minneapolis, MN 55409-1024 · (952) 220-4076
Phone(612) 825-4792
Fax(626) 727-7535
Sole ProprietorYes
Enumeration DateDecember 13, 2025
NPPES CertifiedDecember 13, 2025
✔ NPI 1043174063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 31676
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4208 PARK GLEN RD, Minneapolis, MN 55416
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Aleiya Marielle Penn Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYLENE ZICKMUND
Counselor
4208 PARK GLEN RD
MINNEAPOLIS, MN 55416
Hennepin County (612) 432-0735
NADIA HECKER-O'BRIEN MSW
Social Worker (Clinical)
4208 PARK GLEN RD
MINNEAPOLIS, MN 55416
Hennepin County (612) 460-0298
ELIZABETH DENIO MA
Counselor (Mental Health)
4208 PARK GLEN RD
MINNEAPOLIS, MN 55416
Hennepin County (612) 545-8158
JAMIE LARSON JONES R.D., M.S., L.P.C.C.
Counselor
4208 PARK GLEN RD
MINNEAPOLIS, MN 55416
Hennepin County (612) 615-2700
LISA KLAUER
Counselor (Mental Health)
4208 PARK GLEN RD
MINNEAPOLIS, MN 55416
Hennepin County (612) 825-4792
KATHARINE SIMPSON LPCC
Counselor (Mental Health)
4208 PARK GLEN RD
MINNEAPOLIS, MN 55416
Hennepin County (612) 825-4792
KAI A JOY LGSW
Social Worker (Clinical)
4208 PARK GLEN RD
MINNEAPOLIS, MN 55416
Hennepin County (612) 825-4792
CGC LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
4208 PARK GLEN RD
MINNEAPOLIS, MN 55416
Hennepin County (630) 677-5437

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aleiya Penn's NPI number?

The NPI number for Aleiya Penn is 1043174063. It was assigned to this individual provider in the NPPES registry on December 13, 2025.

Where is Aleiya Penn located?

Aleiya Penn practices at 4208 Park Glen Rd, Minneapolis, MN 55416. The listed phone number is (612) 825-4792.

What is Aleiya Penn's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Aleiya Penn enrolled in Medicare?

Yes. Aleiya Penn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Aleiya Penn was last updated on December 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.