1. Home
  2. Directory
  3. Minnesota
  4. Golden Valley
  5. Social Worker
  6. NPI Profile

MICHELLE A KOSMAK LICSW
NPI 1578655759
Social Worker - Clinical in Golden Valley, MN

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment
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 7, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michelle A Kosmak Licsw NPPES

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

MICHELLE A KOSMAK LICSW (NPI 1578655759) is an individual clinical provider in Golden Valley, Minnesota, licensed in Minnesota (15878) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1578655759
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMICHELLE A KOSMAKCredential: LICSW
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
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 28, 2006
Last NPPES UpdateApril 7, 2020
NPPES CertifiedApril 7, 2020
✔ NPI 1578655759 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 · 15878
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
Open in Google Maps ↗

Other Identifiers 1

Medicaid836108800MN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle A Kosmak 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 ID8628408630
PECOS Enrollment IDI20200415000615
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 Michelle Kosmak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Michelle A Kosmak Licsw LLC
Same address
Clinical
8085 WAYZATA BLVD STE 101B
Golden Valley, MN 55426
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1487283644 (612) 825-1559

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 55426 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

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

MICHELLE A KOSMAK LICSW LLC
Social Worker (Clinical)
8085 WAYZATA BLVD STE 101B
GOLDEN VALLEY, MN 55426
Hennepin County (612) 825-1559

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 Kosmak's NPI number?

The NPI number for Michelle Kosmak is 1578655759. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Michelle Kosmak located?

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

What is Michelle Kosmak's specialty?

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

Is Michelle Kosmak enrolled in Medicare?

Yes. Michelle Kosmak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Michelle Kosmak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Kosmak reassigns Medicare benefits to Michelle A Kosmak Licsw LLC (Golden Valley, MN). The 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 Michelle Kosmak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michelle Kosmak was last updated on April 7, 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.