MRS. GRETCHEN SUZANNE KIRVIDA LICSW - NPI 1215097928 - Social Worker in Centerville, MN

Q: What is Gretchen Kirvida's NPI number?

The NPI number for Gretchen Kirvida is 1215097928. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Q: What is Gretchen Kirvida'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 Gretchen Kirvida was last updated on August 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Gretchen Suzanne Kirvida Licsw NPPES

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

MRS. GRETCHEN SUZANNE KIRVIDA LICSW (NPI 1215097928) is an individual clinical provider in Centerville, Minnesota, licensed in Minnesota (3068) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Forest Lake, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1215097928

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. GRETCHEN SUZANNE KIRVIDACredential: LICSW

Location Address7039 20TH AVECenterville, MN 55038-9737

Mailing AddressPo Box 397Center City, MN 55012 · (651) 257-5399

Phone(651) 288-0332

Fax(651) 288-0493

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateDecember 11, 2006

Last NPPES UpdateAugust 3, 2020

NPPES CertifiedAugust 3, 2020

✔ NPI 1215097928 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 · 3068

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.

7039 20TH AVE, Centerville, MN 55038

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Secondary Practice Location 1

Location 1882 SW 15th StreetForest Lake, MN 55025 · Phone (651) 464-2194 · Fax (651) 464-5744

Other Identifiers 5

Other205M6KIMN · Bc Bs

Other4028602MN · Bhp

Other169876MN · Ucare

Medicaid17395900MN

OtherHP37279MN · Health Partners

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 and accepts Medicare assignment

Mrs. Gretchen Suzanne Kirvida 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 ID8921050188

PECOS Enrollment IDI20050216000062

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 55038 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.

DR. PATRICIA KNISKERN PSY D, LP

Psychologist