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DEBORAH J LOCKETZ LICSW
NPI 1225502172
Social Worker - Clinical in Minnetonka, MN

Active since January 14, 2019Opted out of Medicare · through Jan 4, 2028
4737 COUNTY ROAD 101 # 175, MINNETONKA, MN 55345(952) 208-6700(952) 208-6343 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2022, Jan 14, 2019 (2 updates tracked since 2019).

About Deborah J Locketz Licsw NPPES

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

DEBORAH J LOCKETZ LICSW (NPI 1225502172) is an individual clinical provider in Minnetonka, Minnesota, licensed in Minnesota (19841) and active in the NPI registry since January 2019. She has opted out of Medicare through January 4, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1225502172
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDEBORAH J LOCKETZCredential: LICSW
Location Address4737 COUNTY ROAD 101 # 175Minnetonka, MN 55345-2634
Mailing Address4737 County Road 101 # 175Minnetonka, MN 55345-2634 · (952) 208-6700 · Fax (952) 208-6343
Phone(952) 208-6700
Fax(952) 208-6343
Sole ProprietorNo
Enumeration DateJanuary 14, 2019
Last NPPES UpdateOctober 17, 20222 updates tracked since enumeration
NPPES CertifiedOctober 10, 2022
✔ NPI 1225502172 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 · 19841
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.
4737 COUNTY ROAD 101 # 175, Minnetonka, MN 55345
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Deborah J Locketz Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 4, 2024 through January 4, 2028.

Opt-Out Effective DateJanuary 4, 2024
Opt-Out In Effect ThroughJanuary 4, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55345 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.

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 Deborah Locketz's NPI number?

The NPI number for Deborah Locketz is 1225502172. It was assigned to this individual provider in the NPPES registry on January 14, 2019.

Where is Deborah Locketz located?

Deborah Locketz practices at 4737 County Road 101 # 175, Minnetonka, MN 55345. The listed phone number is (952) 208-6700.

What is Deborah Locketz's specialty?

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

Is Deborah Locketz enrolled in Medicare?

No. Deborah Locketz has opted out of Medicare through January 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Deborah Locketz was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.