KRISTIN MARIE ANTTILA MSW, LICSW
NPI 1063886356
Social Worker - Clinical in Minneapolis, MN

Active since November 24, 2015PECOS EnrolledAccepts Medicare Assignment
4027 COUNTY ROAD 25, MINNEAPOLIS, MN 55416(612) 925-6033(612) 925-8496 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 12, 2024, Nov 24, 2015 (2 updates tracked since 2015).

About Kristin Marie Anttila Msw, Licsw NPPES

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

KRISTIN MARIE ANTTILA MSW, LICSW (NPI 1063886356) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (21882) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1063886356
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTIN MARIE ANTTILACredential: MSW, LICSW
Location Address4027 COUNTY ROAD 25Minneapolis, MN 55416-2629
Mailing Address4240 Park Glen RdSt Louis Park, MN 55416-5427 · (612) 925-6033 · Fax (612) 925-8496
Fax(612) 925-8496
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 24, 2015
Last NPPES UpdateJuly 12, 20242 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
NPI 1063886356 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 · 21882
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.

4027 COUNTY ROAD 25, Minneapolis, MN 55416

Other Names 1

Former Name (1)Kristin Blaine

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kristin Marie Anttila Msw, Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850839614
PECOS Enrollment IDI20240812004248
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
59 services35 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
39 services19 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
12 services12 patients

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 20

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

Social Worker (Clinical)
4027 COUNTY ROAD 25
MINNEAPOLIS, MN 55416
Psychologist (Clinical)
4027 COUNTY ROAD 25
MINNEAPOLIS, MN 55416
Counselor (Professional)
4027 COUNTY ROAD 25
ST LOUIS PARK, MN 55416
Counselor (Professional)
4027 COUNTY ROAD 25
MINNEAPOLIS, MN 55416
Counselor (Professional)
4027 COUNTY ROAD 25
MINNEAPOLIS, MN 55416
Social Worker (Clinical)
4027 COUNTY ROAD 25
MINNEAPOLIS, MN 55416
Psychologist (Clinical)
4027 COUNTY ROAD 25
ST LOUIS PARK, MN 55416
Social Worker (Clinical)
4027 COUNTY ROAD 25
ST LOUIS PARK, MN 55416

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 Kristin Anttila's NPI number?

The NPI number for Kristin Anttila is 1063886356. It was assigned to this individual provider in the NPPES registry on November 24, 2015. The provider is also known as Kristin Blaine.

Where is Kristin Anttila located?

Kristin Anttila practices at 4027 County Road 25, Minneapolis, MN 55416. The listed phone number is (612) 925-6033.

What is Kristin Anttila's specialty?

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

Is Kristin Anttila enrolled in Medicare?

Yes. Kristin Anttila is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kristin Anttila accept?

Health plans from HealthPartners list Kristin Anttila as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristin Anttila was last updated on July 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.