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

Q: What is Amy Kephart's NPI number?

The NPI number for Amy Kephart is 1174845119. It was assigned to this individual provider in the NPPES registry on February 18, 2010.

Q: What is Amy Kephart'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 Amy Kephart was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 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: August 16, 2026.

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

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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

Phone(347) 746-0522

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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 12

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

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