GARY PAUL KEIFENHEIM MSW, LICSW
NPI 1205903705
Social Worker - Clinical in Brooklyn Park, MN

Active since November 29, 2006
6900 78TH AVE N, BROOKLYN PARK, MN 55445(763) 560-4412 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gary Paul Keifenheim Msw, Licsw NPPES

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

GARY PAUL KEIFENHEIM MSW, LICSW (NPI 1205903705) is an individual clinical provider in Brooklyn Park, Minnesota, licensed in Minnesota (LICSW06601) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1205903705
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameGARY PAUL KEIFENHEIMCredential: MSW, LICSW
Location Address6900 78TH AVE NBrooklyn Park, MN 55445-2719
Mailing Address19425 Irving CircleElk River, MN 55330
Sole ProprietorYes
Enumeration DateNovember 29, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1205903705 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 · LICSW06601
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.

6900 78TH AVE N, Brooklyn Park, MN 55445

Other Providers at the Same Location NPPES 18

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

Behavior Analyst
6900 78TH AVE N
BROOKLYN PARK, MN 55445
Behavior Analyst
6900 78TH AVE N
BROOKLYN PARK, MN 55445
Behavior Analyst
6900 78TH AVE N
BROOKLYN PARK, MN 55445
Behavior Analyst
6900 78TH AVE N
BROOKLYN PARK, MN 55445
Behavior Technician
6900 78TH AVE N
BROOKLYN PARK, MN 55445
Behavior Analyst
6900 78TH AVE N
BROOKLYN PARK, MN 55445
Marriage & Family Therapist
6900 78TH AVE N
BROOKLYN PARK, MN 55445
Psychologist
6900 78TH AVE N
BROOKLYN PARK, MN 55445

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 Gary Keifenheim's NPI number?

The NPI number for Gary Keifenheim is 1205903705. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Gary Keifenheim located?

Gary Keifenheim practices at 6900 78th Ave N, Brooklyn Park, MN 55445. The listed phone number is (763) 560-4412.

What is Gary Keifenheim's specialty?

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

When was this NPI record last updated?

The NPPES record for Gary Keifenheim was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.