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MICHELLE A KOSMAK LICSW LLC
NPI 1487283644
Social Worker - Clinical in Golden Valley, MN

Active since April 08, 2020
8085 WAYZATA BLVD STE 101B, GOLDEN VALLEY, MN 55426(612) 825-1559(612) 545-0100 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michelle A Kosmak Licsw Llc NPPES

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

MICHELLE A KOSMAK LICSW LLC (NPI 1487283644) is a healthcare organization registered as a clinical in Golden Valley, Minnesota and active in the NPI registry since April 2020. The organization lists Michelle Kosmak, Owner/clinician, as its authorized official.

NPPES Registry Identity

NPI1487283644
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMICHELLE A KOSMAK LICSW LLC
Location Address8085 WAYZATA BLVD STE 101BGolden Valley, MN 55426-1468
Mailing Address8085 Wayzata Blvd Ste 101bGolden Valley, MN 55426-1468 · (612) 825-1559 · Fax (612) 545-0100
Phone(612) 825-1559
Fax(612) 545-0100
Organization SubpartNo
Authorized OfficialMichelle KosmakOwner/clinician · (612) 825-1559
Enumeration DateApril 8, 2020
NPPES CertifiedApril 8, 2020
✔ NPI 1487283644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
8085 WAYZATA BLVD STE 101B, Golden Valley, MN 55426
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Other Names 1

Doing Business AsMichelle A Kosmak Licsw Llc

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)

Michelle A Kosmak Licsw Llc 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 Michelle A Kosmak Licsw LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michelle Kosmak, LICSW
Clinical Social Worker
NPI 1578655759
8085 WAYZATA BLVD STE 101B
Golden Valley, MN 55426
(612) 825-1559
✔ PECOS✔ 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 Michelle A Kosmak Licsw LLC's NPI number?

The NPI number for Michelle A Kosmak Licsw LLC is 1487283644. It was assigned to this organization in the NPPES registry on April 8, 2020.

Where is Michelle A Kosmak Licsw LLC located?

Michelle A Kosmak Licsw LLC is located at 8085 Wayzata Blvd Ste 101B, Golden Valley, MN 55426. The listed phone number is (612) 825-1559.

What is Michelle A Kosmak Licsw LLC's specialty?

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

Is Michelle A Kosmak Licsw LLC enrolled in Medicare?

Yes. Michelle A Kosmak Licsw LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michelle A Kosmak Licsw LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Michelle A Kosmak Licsw LLC. 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 Michelle A Kosmak Licsw LLC was last updated on April 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.