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KALLIE NICOLE SEVERIN LICSW
NPI 1295486074
Social Worker - Clinical in Woodbury, MN

Active since January 13, 2022PECOS Enrolled
721 COMMERCE DR, WOODBURY, MN 55125(651) 424-4000 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 17, 2025, Mar 13, 2023, Jan 13, 2022 (3 updates tracked since 2022).

About Kallie Nicole Severin Licsw NPPES

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

KALLIE NICOLE SEVERIN LICSW (NPI 1295486074) is an individual clinical provider in Woodbury, Minnesota, licensed in Minnesota (27326) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295486074
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKALLIE NICOLE SEVERINCredential: LICSW
Location Address721 COMMERCE DRWoodbury, MN 55125-9118
Mailing Address721 Commerce DrWoodbury, MN 55125-9118 · (651) 424-4000
Phone(651) 424-4000
Sole ProprietorNo
Enumeration DateJanuary 13, 2022
Last NPPES UpdateNovember 17, 20253 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
✔ NPI 1295486074 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 · 27326
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.
721 COMMERCE DR, Woodbury, MN 55125
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kallie Nicole Severin Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kallie Severin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fraser Child And Family Center
15 mi
Adolescent and Children Mental Health
3333 UNIVERSITY AVE SE
Minneapolis, MN 55414
  • Reassigned Medicare billing, Minnesota enrollment
  • 228 clinicians in this Medicare group
NPI 1609922194 (612) 331-9413

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55125 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 20

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

VICTORIA ESTER HINTON
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (651) 424-4000
NENE AISSATOU DIALLO
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (651) 424-4000
JUSTIN MUELLER
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (651) 424-4000
MARYKATHERINE F KOCOUREK
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (651) 424-4000
KAILEE ANNETTE DEAN
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (651) 424-4000
SABRINA L ANDERSEN
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (651) 424-4000
VICTORIA ANN TODD
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (612) 445-8326
SYDNEY BOYD
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (651) 424-4000

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 Kallie Severin's NPI number?

The NPI number for Kallie Severin is 1295486074. It was assigned to this individual provider in the NPPES registry on January 13, 2022.

Where is Kallie Severin located?

Kallie Severin practices at 721 Commerce Dr, Woodbury, MN 55125. The listed phone number is (651) 424-4000.

What is Kallie Severin's specialty?

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

Is Kallie Severin enrolled in Medicare?

Yes. Kallie Severin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kallie Severin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kallie Severin reassigns Medicare benefits to Fraser Child And Family Center (Minneapolis, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kallie Severin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kallie Severin accept?

Health plans from HealthPartners list Kallie Severin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kallie Severin was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.