KELLY NICOLE GADOLA LICSW
NPI 1508449612
Social Worker - Clinical in Minnetonka, MN

Q: What is Kelly Gadola's NPI number?

The NPI number for Kelly Gadola is 1508449612. It was assigned to this individual provider in the NPPES registry on May 5, 2021.

Q: What is Kelly Gadola's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Gadola was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 05, 2021PECOS Enrolled

12301 WHITEWATER DR STE 101, MINNETONKA, MN 55343(952) 999-6097(952) 426-0508 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 17, 2025, May 5, 2021 (2 updates tracked since 2021).

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About Kelly Nicole Gadola Licsw NPPES

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

KELLY NICOLE GADOLA LICSW (NPI 1508449612) is an individual clinical provider in Minnetonka, Minnesota and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1508449612

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKELLY NICOLE GADOLACredential: LICSW

Location Address12301 WHITEWATER DR STE 101Minnetonka, MN 55343-4157

Mailing Address12301 Whitewater Dr Ste 101Minnetonka, MN 55343-4157 · (952) 999-6097 · Fax (952) 426-0508

Phone(952) 999-6097

Fax(952) 426-0508

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMay 5, 2021

Last NPPES UpdateSeptember 17, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2025

✔ NPI 1508449612 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.

12301 WHITEWATER DR STE 101, Minnetonka, MN 55343

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6103317581

PECOS Enrollment IDI20251113001663

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 Kelly Gadola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sonder Behavioral Health & Wellness, Inc.

Same address

Clinical

12301 WHITEWATER DR, STE 101
Minnetonka, MN 55343

Reassigned Medicare billing, Minnesota enrollment
37 clinicians in this Medicare group

NPI 1780031732 (952) 999-6097

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 55343 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 18

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

MS. LAURA ANN JAAP M.A., L.P.

Psychologist (Counseling)