Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. KEITH B BLOCK LICSW
NPI 1558751933
Social Worker - Clinical in Minnetonka, MN

Q: What is Keith Block's NPI number?

The NPI number for Keith Block is 1558751933. It was assigned to this individual provider in the NPPES registry on January 23, 2015.

Q: What is Keith Block'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 Keith Block was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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 January 23, 2015PECOS Enrolled

10201 WAYZATA BLVD STE 100, MINNETONKA, MN 55305(952) 544-6806(952) 545-0098 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 25, 2026, Apr 15, 2022, Jun 28, 2021 (3 updates tracked since 2021).

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About Mr. Keith B Block Licsw NPPES

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

MR. KEITH B BLOCK LICSW (NPI 1558751933) is an individual clinical provider in Minnetonka, Minnesota, licensed in Minnesota (26533) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and maintains a secondary practice location in Sioux Falls.

NPPES Registry Identity

NPI1558751933

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. KEITH B BLOCKCredential: LICSW

Location Address10201 WAYZATA BLVD STE 100Minnetonka, MN 55305-1500

Mailing Address10201 Wayzata Blvd Ste 100Minnetonka, MN 55305-1500 · (952) 544-6806 · Fax (952) 545-0098

Phone(952) 544-6806

Fax(952) 545-0098

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJanuary 23, 2015

Last NPPES UpdateAugust 25, 20263 updates tracked since enumeration

NPPES CertifiedAugust 25, 2026

✔ NPI 1558751933 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 · 26533✔ Licensed in SD · 5251

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.

10201 WAYZATA BLVD STE 100, Minnetonka, MN 55305

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Secondary Practice Location 1

Location 16215 S Cliff AveSioux Falls, SD 57108-8596 · Phone (605) 322-3300 · Fax (605) 322-3301

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Mr. Keith B Block 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 ID3779809769

PECOS Enrollment IDI20150310002318

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430016

Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55305 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 19

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

ADNAN AHMED M.D.

Psychiatry & Neurology (Psychiatry)