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

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: July 19, 2026.

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

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

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.

Psychologist (Counseling)
12301 WHITEWATER DR STE 101
MINNETONKA, MN 55343
Psychologist (Clinical)
12301 WHITEWATER DR STE 101
MINNETONKA, MN 55343
Nurse Practitioner (Psychiatric/Mental Health)
12301 WHITEWATER DR STE 101
MINNETONKA, MN 55343
Psychologist (Clinical)
12301 WHITEWATER DR STE 101
MINNETONKA, MN 55343
Psychologist
12301 WHITEWATER DR STE 101
MINNETONKA, MN 55343
Psychologist
12301 WHITEWATER DR STE 101
MINNETONKA, MN 55343
Social Worker (Clinical)
12301 WHITEWATER DR STE 101
MINNETONKA, MN 55343
Psychiatry & Neurology (Psychiatry)
12301 WHITEWATER DR STE 101
MINNETONKA, MN 55343

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 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.

Where is Kelly Gadola located?

Kelly Gadola practices at 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343. The listed phone number is (952) 999-6097.

What is Kelly Gadola's specialty?

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

Is Kelly Gadola enrolled in Medicare?

Yes. Kelly Gadola is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Gadola accept?

Health plans from HealthPartners list Kelly Gadola 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 Kelly Gadola was last updated on September 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.