SUSAN MARIE BANAL LICSW
NPI 1629190814
Social Worker - Clinical in St Louis Park, MN

Active since April 06, 2007PECOS EnrolledAccepts Medicare Assignment
5821 CEDAR LAKE RD S, ST LOUIS PARK, MN 55416(651) 647-1900(651) 647-1861 Get Directions Write a Review

NPPES record last updated: April 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Marie Banal Licsw NPPES

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

SUSAN MARIE BANAL LICSW (NPI 1629190814) is an individual clinical provider in St Louis Park, Minnesota, licensed in Minnesota (9380) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1629190814
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUSAN MARIE BANALCredential: LICSW
Location Address5821 CEDAR LAKE RD SSt Louis Park, MN 55416-1487
Mailing Address4502 Timber Woods LnMinnetonka, MN 55345-2973
Fax(651) 647-1861
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateApril 6, 2007
Last NPPES UpdateApril 19, 2017
NPI 1629190814 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 · 9380
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.
5821 CEDAR LAKE RD S, St Louis Park, MN 55416

Other Identifiers 2

Medicare PINH400314785MN
Medicaid1629190814MN

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 and accepts Medicare assignment

Susan Marie Banal 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 ID446335251
PECOS Enrollment IDI20080304000397
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 55416 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 9

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

Social Worker (Clinical)
5821 CEDAR LAKE RD S
ST LOUIS PARK, MN 55416
Acupuncturist
5821 CEDAR LAKE RD S
ST LOUIS PARK, MN 55416
Clinic/Center (Multi-Specialty)
5821 CEDAR LAKE RD S
MINNEAPOLIS, MN 55416
Marriage & Family Therapist
5821 CEDAR LAKE RD S, SUITE 8
ST LOUIS PARK, MN 55416
Psychologist
5821 CEDAR LAKE RD S
ST LOUIS PARK, MN 55416
Acupuncturist
5821 CEDAR LAKE RD S
ST LOUIS PARK, MN 55416
Massage Therapist
5821 CEDAR LAKE RD S
ST LOUIS PARK, MN 55416
Marriage & Family Therapist
5821 CEDAR LAKE RD S, SUITE 11
ST LOUIS PARK, MN 55416

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 Susan Banal's NPI number?

The NPI number for Susan Banal is 1629190814. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Susan Banal located?

Susan Banal practices at 5821 Cedar Lake Rd S, St Louis Park, MN 55416. The listed phone number is (651) 647-1900.

What is Susan Banal's specialty?

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

Is Susan Banal enrolled in Medicare?

Yes. Susan Banal 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.

What insurance does Susan Banal accept?

Health plans from HealthPartners list Susan Banal 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 Susan Banal was last updated on April 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.