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MRS. MINDY KAYE DOMBROVSKI LICSW
NPI 1093033805
Social Worker - Clinical in Woodbury, MN

Active since May 04, 2010PECOS EnrolledAccepts Medicare Assignment
81.72/100
CMS Quality Rating
8675 VALLEY CREEK RD, WOODBURY, MN 55125(651) 241-3000 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 14, 2025, Aug 7, 2019 (2 updates tracked since 2019).

About Mrs. Mindy Kaye Dombrovski Licsw NPPES

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

MRS. MINDY KAYE DOMBROVSKI LICSW (NPI 1093033805) is an individual clinical provider in Woodbury, Minnesota, licensed in Minnesota (15202) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1093033805
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. MINDY KAYE DOMBROVSKICredential: LICSW
Location Address8675 VALLEY CREEK RDWoodbury, MN 55125-2337
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000
Phone(651) 241-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 4, 2010
Last NPPES UpdateMay 14, 20252 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1093033805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in MN · 15202✔ Licensed in WI · 9097
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.
8675 VALLEY CREEK RD, Woodbury, MN 55125
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan, UnitedHealthcare.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

Mrs. Mindy Kaye Dombrovski 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 ID345373239
PECOS Enrollment IDI20100728001246
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

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, 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.
111 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55125 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability100
Improvement Activities40
Cost59.73

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.

DR. DAVID SHRAKE D.O.
Family Medicine
8675 VALLEY CREEK RD
WOODBURY, MN 55125
Washington County (651) 241-3000
JANELL L GIESLER MD
Psychiatry & Neurology (Psychiatry)
8675 VALLEY CREEK RD
WOODBURY, MN 55125
Washington County (651) 241-3000
COLLEEN M DANIEWICZ PSYD
Psychologist
8675 VALLEY CREEK RD
WOODBURY, MN 55125
Washington County (651) 501-3000
SUSHILA N MOHAN MD
Psychiatry & Neurology (Psychiatry)
8675 VALLEY CREEK RD
WOODBURY, MN 55125
Washington County (651) 501-3000
MICHAELA NIKOLAI
Audiologist
8675 VALLEY CREEK RD
WOODBURY, MN 55125
Washington County (612) 241-3000
DAVID PRESTON LAW PAC
Physician Assistant (Surgical)
8675 VALLEY CREEK RD
WOODBURY, MN 55125
Washington County (651) 241-3000
PAUL N. SANDAGER MD
Family Medicine
8675 VALLEY CREEK RD
WOODBURY, MN 55125
Washington County (651) 241-3000
PHALEN MEYER LN
Nutritionist
8675 VALLEY CREEK RD
WOODBURY, MN 55125
Washington County (651) 241-3000

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 Mindy Dombrovski's NPI number?

The NPI number for Mindy Dombrovski is 1093033805. It was assigned to this individual provider in the NPPES registry on May 4, 2010.

Where is Mindy Dombrovski located?

Mindy Dombrovski practices at 8675 Valley Creek Rd, Woodbury, MN 55125. The listed phone number is (651) 241-3000.

What is Mindy Dombrovski's specialty?

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

Is Mindy Dombrovski enrolled in Medicare?

Yes. Mindy Dombrovski 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 Mindy Dombrovski accept?

Health plans from Medica, Sanford Health Plan and UnitedHealthcare list Mindy Dombrovski 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 Mindy Dombrovski was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.