MS. AMY L. KEPHART LICSW
NPI 1174845119
Social Worker - Clinical in Minneapolis, MN

Active since February 18, 2010PECOS Enrolled
3033 EXCELSIOR BLVD STE 215, MINNEAPOLIS, MN 55416(347) 746-0522(651) 925-0427 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 6, 2020, Oct 21, 2019 (2 updates tracked since 2019).

About Ms. Amy L. Kephart Licsw NPPES

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

MS. AMY L. KEPHART LICSW (NPI 1174845119) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (28099) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1174845119
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. AMY L. KEPHARTCredential: LICSW
Location Address3033 EXCELSIOR BLVD STE 215Minneapolis, MN 55416-5274
Mailing Address5121 Upton Ave SMinneapolis, MN 55410-2246 · (347) 746-0522 · Fax (651) 925-0427
Fax(651) 925-0427
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateFebruary 18, 2010
Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration
NPPES CertifiedOctober 22, 2025
NPI 1174845119 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 · 28099
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.

3033 EXCELSIOR BLVD STE 215, Minneapolis, MN 55416

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 (PECOS)

Ms. Amy L. Kephart Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850720020
PECOS Enrollment IDI20200409001165
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 55416 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 11

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

Counselor (Mental Health)
3033 EXCELSIOR BLVD STE 215
MINNEAPOLIS, MN 55416
Counselor (Mental Health)
3033 EXCELSIOR BLVD STE 215
MINNEAPOLIS, MN 55416
Psychiatry & Neurology (Psychiatry)
3033 EXCELSIOR BLVD STE 215
MINNEAPOLIS, MN 55416
Counselor (Mental Health)
3033 EXCELSIOR BLVD STE 215
MINNEAPOLIS, MN 55416
Social Worker (Clinical)
3033 EXCELSIOR BLVD STE 215
MINNEAPOLIS, MN 55416
Counselor (Professional)
3033 EXCELSIOR BLVD STE 215
MINNEAPOLIS, MN 55416
Counselor (Professional)
3033 EXCELSIOR BLVD STE 215
MINNEAPOLIS, MN 55416
Marriage & Family Therapist
3033 EXCELSIOR BLVD STE 215
MINNEAPOLIS, MN 55416

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174845119, enumerated as an "individual" on February 18, 2010.

The provider is located at 3033 EXCELSIOR BLVD STE 215 MINNEAPOLIS, MN 55416 and the phone number is (347) 746-0522.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to verify.