SOUTHERN MINNESOTA SPEECH PATHOLOGY
NPI 1346551033
Speech-Language Pathologist in Faribault, MN

Active since June 28, 2010
303 1ST AVE NE, SUITE 375, FARIBAULT, MN 55021(507) 331-3010(507) 262-8114 Get Directions Write a Review

NPPES record last updated: June 28, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southern Minnesota Speech Pathology NPPES

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

SOUTHERN MINNESOTA SPEECH PATHOLOGY (NPI 1346551033) is a healthcare organization registered as a speech-language pathologist in Faribault, Minnesota and active in the NPI registry since June 2010. The organization lists Richard Dworsky, Owner/proprieter, as its authorized official.

NPPES Registry Identity

NPI1346551033
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameSOUTHERN MINNESOTA SPEECH PATHOLOGY
Location Address303 1ST AVE NE, SUITE 375Faribault, MN 55021-5268
Mailing Address303 1st Ave Ne, Suite 375Faribault, MN 55021-5268 · (507) 331-3010 · Fax (507) 262-8114
Fax(507) 262-8114
Organization SubpartNo
Authorized OfficialRichard DworskyOwner/proprieter · (507) 331-3010
Enumeration DateJune 28, 2010
✔ NPI 1346551033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MN · 5368
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
303 1ST AVE NE, Faribault, MN 55021

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Minnesota Speech Pathology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern Minnesota Speech Pathology, which bills Medicare for the services this clinician delivers.

Clinician (1)

Qualified Speech Language Pathologist
NPI 1851538235
303 1ST AVE NE
Faribault, MN 55021
(507) 331-3010
✔ Accepts MedicareSame address

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

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 Southern Minnesota Speech Pathology's NPI number?

The NPI number for Southern Minnesota Speech Pathology is 1346551033. It was assigned to this organization in the NPPES registry on June 28, 2010.

Where is Southern Minnesota Speech Pathology located?

Southern Minnesota Speech Pathology is located at 303 1st Ave NE Suite 375, Faribault, MN 55021. The listed phone number is (507) 331-3010.

What is Southern Minnesota Speech Pathology's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Southern Minnesota Speech Pathology enrolled in Medicare?

Yes. Southern Minnesota Speech Pathology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Minnesota Speech Pathology?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Speech Language Pathologist) reassigns their Medicare billing to Southern Minnesota Speech Pathology. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern Minnesota Speech Pathology was last updated on June 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.