KELLY KNAEBLE MSW, LICSW
NPI 1164658431
Social Worker - Clinical in Faribault, MN

Q: What is Kelly Knaeble's NPI number?

The NPI number for Kelly Knaeble is 1164658431. It was assigned to this individual provider in the NPPES registry on June 1, 2009.

Q: What is Kelly Knaeble's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Knaeble was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 01, 2009PECOS EnrolledAccepts Medicare Assignment

100 STATE AVE, FARIBAULT, MN 55021(507) 334-3921 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 23, 2025, Mar 19, 2025, Apr 12, 2018 (3 updates tracked since 2018).

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About Kelly Knaeble Msw, Licsw NPPES

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

KELLY KNAEBLE MSW, LICSW (NPI 1164658431) is an individual clinical provider in Faribault, Minnesota, licensed in Minnesota (16642) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1164658431

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKELLY KNAEBLECredential: MSW, LICSW

Location Address100 STATE AVEFaribault, MN 55021-6337

Mailing Address100 State AveFaribault, MN 55021-6337 · (507) 334-3921

Phone(507) 334-3921

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJune 1, 2009

Last NPPES UpdateJune 23, 20253 updates tracked since enumeration

NPPES CertifiedJune 23, 2025

✔ NPI 1164658431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MN · 16642

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.

Also ListedSocial WorkerTaxonomy 104100000X · License 16642 (MN)

100 STATE AVE, Faribault, MN 55021

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Other Identifiers 1

Other16642MN · Mn Board Of Social Workers

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

Kelly Knaeble 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 ID1658896865

PECOS Enrollment IDI20250701000367

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 55021 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.

ALLINA HEALTH SYSTEM

Family Medicine