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REBEL K GUSTAFSON MSW, LICSW
NPI 1407061047
Social Worker - Clinical in Duluth, MN

Active since May 14, 2007PECOS EnrolledAccepts Medicare Assignment
407 E 3RD ST, DULUTH, MN 55805(218) 786-4000 Get Directions Write a Review

NPPES record last updated: September 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rebel K Gustafson Msw, Licsw NPPES

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

REBEL K GUSTAFSON MSW, LICSW (NPI 1407061047) is an individual clinical provider in Duluth, Minnesota, licensed in Minnesota (8719) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1407061047
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameREBEL K GUSTAFSONCredential: MSW, LICSW
Location Address407 E 3RD STDuluth, MN 55805-1950
Mailing Address400 E 3rd St, Credentialing Dept., Mcl2credDuluth, MN 55805-1951 · (218) 786-3146
Phone(218) 786-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMay 14, 2007
Last NPPES UpdateSeptember 29, 2016
✔ NPI 1407061047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in MN · 8719✔ Licensed in WI · 8589
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.
407 E 3RD ST, Duluth, MN 55805
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Providence Health Plan.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

Rebel K Gustafson Msw, 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 ID4789804899
PECOS Enrollment IDI20141013000072
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 55805 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.

MICHAEL A REUTER PT
Physical Therapist
407 E 3RD ST, ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER
DULUTH, MN 55805
St. Louis County (218) 786-4000
JENNA MAKI OTR
Occupational Therapist
407 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-4000
BLAKE ERVIN COLLISON MD
Emergency Medicine
407 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-4000
MARY FRANCES HUNT SLOAN PT
Physical Therapist
407 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-4000
MRS. SHYLEE SUE PRESTON
Nurse Anesthetist, Certified Registered
407 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-4000
DEBBI L PETERS APRN, CNP
Nurse Practitioner (Neonatal)
407 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-4063
ELLA DOHLIN RN, CNS
Clinical Nurse Specialist (Adult Health)
407 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-4000
MELISSA GRACE JULIAN OTR
Occupational Therapist
407 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN 55805
St. Louis County (218) 786-4000

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 Rebel Gustafson's NPI number?

The NPI number for Rebel Gustafson is 1407061047. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Rebel Gustafson located?

Rebel Gustafson practices at 407 E 3rd St, Duluth, MN 55805. The listed phone number is (218) 786-4000.

What is Rebel Gustafson's specialty?

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

Is Rebel Gustafson enrolled in Medicare?

Yes. Rebel Gustafson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rebel Gustafson accept?

Health plans from HealthPartners and Providence Health Plan list Rebel Gustafson 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 Rebel Gustafson was last updated on September 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.