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KAYLEEN RAE VIEBURG LICSW
NPI 1417668153
Social Worker - Clinical in Mankato, MN

Active since December 13, 2022PECOS Enrolled
11 CIVIC CENTER PLZ STE 205, MANKATO, MN 56001(073) 454-6795(507) 345-8685 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2023, Dec 13, 2022 (2 updates tracked since 2022).

About Kayleen Rae Vieburg Licsw NPPES

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

KAYLEEN RAE VIEBURG LICSW (NPI 1417668153) is an individual clinical provider in Mankato, Minnesota, licensed in Minnesota (28654) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Paul.

NPPES Registry Identity

NPI1417668153
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKAYLEEN RAE VIEBURGCredential: LICSW
Location Address11 CIVIC CENTER PLZ STE 205Mankato, MN 56001-7718
Mailing Address11 Civic Center Plz Ste 205Mankato, MN 56001-7718 · (507) 345-4679 · Fax (507) 345-8685
Phone(073) 454-6795
Fax(507) 345-8685
Sole ProprietorYes
Enumeration DateDecember 13, 2022
Last NPPES UpdateDecember 5, 20232 updates tracked since enumeration
NPPES CertifiedDecember 5, 2023
✔ NPI 1417668153 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 · 28654
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.
11 CIVIC CENTER PLZ STE 205, Mankato, MN 56001
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Secondary Practice Location 1

Location 12277 Highway 36 W Ste 150Saint Paul, MN 55113-3830 · Phone (507) 345-1194 · Fax (507) 345-8685

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kayleen Rae Vieburg 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 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 3

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

PEGGY S GAROFANO
Social Worker (Clinical)
11 CIVIC CENTER PLZ STE 205
MANKATO, MN 56001
Blue Earth County (507) 345-4679
ADDICTIONS AND STRESS CLINICS LTD
Psychologist
11 CIVIC CENTER PLZ STE 205
MANKATO, MN 56001
Blue Earth County (507) 345-4679
JULIE C MELZER M.A., LPCC
Counselor (Professional)
11 CIVIC CENTER PLZ STE 205
MANKATO, MN 56001
Blue Earth County (507) 345-4679

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 Kayleen Vieburg's NPI number?

The NPI number for Kayleen Vieburg is 1417668153. It was assigned to this individual provider in the NPPES registry on December 13, 2022.

Where is Kayleen Vieburg located?

Kayleen Vieburg practices at 11 Civic Center Plz Ste 205, Mankato, MN 56001. The listed phone number is (073) 454-6795.

What is Kayleen Vieburg's specialty?

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

Is Kayleen Vieburg enrolled in Medicare?

Yes. Kayleen Vieburg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kayleen Vieburg was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.