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AMY MELISSA HABEDANK LICSW
NPI 1679417695
Social Worker - Clinical in Forest Lake, MN

Active since April 18, 2026PECOS Enrolled
1068 LAKE ST S STE 109, FOREST LAKE, MN 55025(651) 982-4792(651) 982-6035 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 24, 2026, Apr 18, 2026 (2 updates tracked since 2026).

About Amy Melissa Habedank Licsw NPPES

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

AMY MELISSA HABEDANK LICSW (NPI 1679417695) is an individual clinical provider in Forest Lake, Minnesota, licensed in Minnesota (11936) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Northfield, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1679417695
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMY MELISSA HABEDANKCredential: LICSW
Location Address1068 LAKE ST S STE 109Forest Lake, MN 55025-2633
Mailing Address8972 Bataan CtMinneapolis, MN 55449-5649 · (507) 301-3412
Phone(651) 982-4792
Fax(651) 982-6035
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 18, 2026
Last NPPES UpdateApril 24, 20262 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
✔ NPI 1679417695 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 · 11936
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.
1068 LAKE ST S STE 109, Forest Lake, MN 55025
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Secondary Practice Location 1

Location 1570 Professional DrNorthfield, MN 55057-2756 · Phone (507) 301-3412 · Fax (507) 301-3308

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Melissa Habedank Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365910031
PECOS Enrollment IDI20260512000139
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 55025 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 13

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

HEIDI MARIE SPETZMAN LAMFT
Counselor (Mental Health)
1068 LAKE ST S STE 109
FOREST LAKE, MN 55025
Washington County (651) 982-4792
SUSAN MARIE HOISINGTON PSY.D.
Psychologist (Addiction (Substance Use Disorder))
1068 LAKE ST S STE 109
FOREST LAKE, MN 55025
Washington County (651) 982-4792
SERENE EIDEM
Social Worker
1068 LAKE ST S STE 109
FOREST LAKE, MN 55025
Washington County (651) 982-4792
REBECCA A ZABINSKI MA, LPCC
Counselor (Professional)
1068 LAKE ST S STE 109
FOREST LAKE, MN 55025
Washington County (612) 655-5642
STEPHANIE L TSCHIDA LMFT
Marriage & Family Therapist
1068 LAKE ST S STE 109
FOREST LAKE, MN 55025
Washington County (651) 829-6608
SUSAN HOISINGTON COUNSELING LLC
Psychologist
1068 LAKE ST S STE 109
FOREST LAKE, MN 55025
Washington County (612) 597-3133
MS. SHERI LEE DELAMBO MA, LADC, LPCC
Counselor (Professional)
1068 LAKE ST S STE 109
FOREST LAKE, MN 55025
Washington County (651) 982-4792
PAUL MLADNICK CONSULTING LLC
Marriage & Family Therapist
1068 LAKE ST S STE 109
FOREST LAKE, MN 55025
Washington County (651) 982-4792

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 Amy Habedank's NPI number?

The NPI number for Amy Habedank is 1679417695. It was assigned to this individual provider in the NPPES registry on April 18, 2026.

Where is Amy Habedank located?

Amy Habedank practices at 1068 Lake St S Ste 109, Forest Lake, MN 55025. The listed phone number is (651) 982-4792.

What is Amy Habedank's specialty?

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

Is Amy Habedank enrolled in Medicare?

Yes. Amy Habedank is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amy Habedank was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.