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AUTUMN MICHELLE PHENOW MSW, LICSW
NPI 1154980068
Social Worker - Clinical in Fridley, MN

Active since June 13, 2019PECOS EnrolledAccepts Medicare Assignment
81.72/100
CMS Quality Rating
6341 UNIVERSITY AVE NE, FRIDLEY, MN 55432(612) 672-6999 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 22, 2019, Jun 13, 2019 (2 updates tracked since 2019).

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

NPI1154980068
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAUTUMN MICHELLE PHENOWCredential: MSW, LICSW
Location Address6341 UNIVERSITY AVE NEFridley, MN 55432-4946
Mailing Address2785 White Bear Ave N Ste 403Maplewood, MN 55109-1327 · (651) 395-5775
Phone(612) 672-6999
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 13, 2019
Last NPPES UpdateAugust 22, 20192 updates tracked since enumeration
✔ NPI 1154980068 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 · 22651
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.
6341 UNIVERSITY AVE NE, Fridley, MN 55432
Open in Google Maps ↗

Secondary Practice Location 1

Location 13450 OLeary LnEagan, MN 55123-2340 · Phone (651) 363-0114

Accepted Insurance

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

PECOS PAC ID7911235866
PECOS Enrollment IDI20190829004029
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 2

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.
28 services14 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.
18 services18 patients

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.

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. ALAN E. SADOWSKY M.D.
Ophthalmology
6341 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 572-5710
DR. MICHAEL EARL LINS M.D.
Ophthalmology
6341 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 572-5710
MATTHEW BRENT MERRIMAN M.A., LMFT
Marriage & Family Therapist
6341 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (612) 672-6999
STEVEN ALEX RIZZI OD
Optometrist
6341 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 572-5700
DANIEL SPENCER BROOKS APRN
Nurse Practitioner (Family)
6341 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 586-5844
KAYDEE E BROWN LD
Dietitian, Registered
6341 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 586-5844
WILLIAM ALLEN WITTCHOW PA-C
Physician Assistant
6341 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 572-5710
JUAN OLIVER MARISCAL MD
Surgery
6341 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 572-5700

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 Autumn Phenow's NPI number?

The NPI number for Autumn Phenow is 1154980068. It was assigned to this individual provider in the NPPES registry on June 13, 2019.

Where is Autumn Phenow located?

Autumn Phenow practices at 6341 University Ave NE, Fridley, MN 55432. The listed phone number is (612) 672-6999.

What is Autumn Phenow's specialty?

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

Is Autumn Phenow enrolled in Medicare?

Yes. Autumn Phenow 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 Autumn Phenow accept?

Health plans from Sanford Health Plan list Autumn Phenow 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 Autumn Phenow was last updated on August 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.