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ANNETTE PRIDEMORE MSW, LICSW
NPI 1639835473
Social Worker - Clinical in Edina, MN

Active since November 16, 2021PECOS Enrolled
6363 FRANCE AVE S STE 402, EDINA, MN 55435(612) 274-7570 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Annette Pridemore Msw, Licsw NPPES

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

ANNETTE PRIDEMORE MSW, LICSW (NPI 1639835473) is an individual clinical provider in Edina, Minnesota, licensed in Minnesota (27741) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639835473
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANNETTE PRIDEMORECredential: MSW, LICSW
Location Address6363 FRANCE AVE S STE 402Edina, MN 55435-2142
Mailing Address16077 Baywood LnEden Prairie, MN 55346-2409
Phone(612) 274-7570
Sole ProprietorNo
Enumeration DateNovember 16, 2021
NPPES CertifiedNovember 16, 2021
✔ NPI 1639835473 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 · 27741
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.
6363 FRANCE AVE S STE 402, Edina, MN 55435
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Other Names 1

Former Name (1)Annette Fath

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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)

Annette Pridemore Msw, Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 55435 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.

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 Annette Pridemore's NPI number?

The NPI number for Annette Pridemore is 1639835473. It was assigned to this individual provider in the NPPES registry on November 16, 2021. The provider is also known as Annette Fath.

Where is Annette Pridemore located?

Annette Pridemore practices at 6363 France Ave S Ste 402, Edina, MN 55435. The listed phone number is (612) 274-7570.

What is Annette Pridemore's specialty?

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

Is Annette Pridemore enrolled in Medicare?

Yes. Annette Pridemore is registered in the Medicare PECOS enrollment system.

What insurance does Annette Pridemore accept?

Health plans from HealthPartners list Annette Pridemore 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 Annette Pridemore was last updated on November 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.