JACQUELYN LEE KERKOW-DOHMEN LICSW
NPI 1174186738
Social Worker - Clinical in Shakopee, MN

Active since April 19, 2019PECOS EnrolledAccepts Medicare Assignment
500 MARSCHALL RD STE 100, SHAKOPEE, MN 55379(952) 448-6557(952) 448-6047 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 15, 2024, Apr 19, 2019 (2 updates tracked since 2019).

About Jacquelyn Lee Kerkow-dohmen Licsw NPPES

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

JACQUELYN LEE KERKOW-DOHMEN LICSW (NPI 1174186738) is an individual clinical provider in Shakopee, Minnesota, licensed in Minnesota (22546) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1174186738
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACQUELYN LEE KERKOW-DOHMENCredential: LICSW
Location Address500 MARSCHALL RD STE 100Shakopee, MN 55379-2689
Mailing Address500 Marschall Rd Ste 300Shakopee, MN 55379-2690 · (952) 856-3932 · Fax (952) 448-6047
Fax(952) 448-6047
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 19, 2019
Last NPPES UpdateMay 15, 20242 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
NPI 1174186738 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 · 22546
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.

500 MARSCHALL RD STE 100, Shakopee, MN 55379

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

Jacquelyn Lee Kerkow-dohmen 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 ID9830425354
PECOS Enrollment IDI20190722002209
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, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
66 services16 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.
30 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55379 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 8

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

Counselor (Mental Health)
500 MARSCHALL RD STE 100
SHAKOPEE, MN 55379
Psychologist
500 MARSCHALL RD STE 100
SHAKOPEE, MN 55379
Counselor (Mental Health)
500 MARSCHALL RD STE 100
SHAKOPEE, MN 55379
Counselor (Professional)
500 MARSCHALL RD STE 100
SHAKOPEE, MN 55379
Psychologist (Clinical)
500 MARSCHALL RD STE 100
SHAKOPEE, MN 55379
Psychologist
500 MARSCHALL RD STE 100
SHAKOPEE, MN 55379
Social Worker (Clinical)
500 MARSCHALL RD STE 100
SHAKOPEE, MN 55379
Social Worker (Clinical)
500 MARSCHALL RD STE 100
SHAKOPEE, MN 55379

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 Jacquelyn Kerkow-dohmen's NPI number?

The NPI number for Jacquelyn Kerkow-dohmen is 1174186738. It was assigned to this individual provider in the NPPES registry on April 19, 2019.

Where is Jacquelyn Kerkow-dohmen located?

Jacquelyn Kerkow-dohmen practices at 500 Marschall Rd Ste 100, Shakopee, MN 55379. The listed phone number is (952) 448-6557.

What is Jacquelyn Kerkow-dohmen's specialty?

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

Is Jacquelyn Kerkow-dohmen enrolled in Medicare?

Yes. Jacquelyn Kerkow-dohmen 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 Jacquelyn Kerkow-dohmen accept?

Health plans from HealthPartners list Jacquelyn Kerkow-dohmen 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 Jacquelyn Kerkow-dohmen was last updated on May 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.