AUTUMN MICHELLE PHENOW MSW, LICSW
NPI 1154980068
Social Worker - Clinical in Fridley, MN
About Autumn Michelle Phenow Msw, Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUTUMN MICHELLE PHENOW MSW, LICSW (NPI 1154980068) is an individual clinical provider in Fridley, Minnesota, licensed in Minnesota (22651) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Eagan, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
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.
Secondary Practice Location 1
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
Autumn Michelle Phenow 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55432 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154980068, enumerated as an "individual" on June 13, 2019.
The provider is located at 6341 UNIVERSITY AVE NE FRIDLEY, MN 55432 and the phone number is (612) 672-6999.
Social Worker with taxonomy code 1041C0700X and a focus in Clinical.
The provider might be accepting Accepts: Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.
