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KELLY VOURLOS MSW, LICSW
NPI 1760875082
Social Worker in Minnetonka, MN

Active since March 11, 2015PECOS EnrolledAccepts Medicare Assignment
10505 WAYZATA BLVD STE 101, MINNETONKA, MN 55305(952) 484-2020(952) 492-7885 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Vourlos Msw, Licsw NPPES

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

KELLY VOURLOS MSW, LICSW (NPI 1760875082) is an individual social worker in Minnetonka, Minnesota, licensed in Minnesota (15164) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1760875082
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKELLY VOURLOSCredential: MSW, LICSW
Location Address10505 WAYZATA BLVD STE 101Minnetonka, MN 55305-1507
Mailing Address803 Lodge DrJordan, MN 55352-1453
Phone(952) 484-2020
Fax(952) 492-7885
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 11, 2015
Last NPPES UpdateJuly 22, 2019
✔ NPI 1760875082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MN · 15164
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
10505 WAYZATA BLVD STE 101, Minnetonka, MN 55305
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Secondary Practice Locations 2

Location 1700 Seville Dr. Ste. 205Jordan, MN 55352 · Phone (955) 484-2020
Location 28640 Eagle Creek CirSavage, MN 55378-4400 · Phone (952) 746-7664

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 and accepts Medicare assignment

Kelly Vourlos Msw, 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 ID1254672603
PECOS Enrollment IDI20190411001409
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.

Other Providers at the Same Location NPPES

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

MR. JOHN ROBERT NORD MA-PSYCHOTHERAPIST
Counselor (Professional)
10505 WAYZATA BLVD STE 101
MINNETONKA, MN 55305
Hennepin County (612) 790-6673

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 Kelly Vourlos's NPI number?

The NPI number for Kelly Vourlos is 1760875082. It was assigned to this individual provider in the NPPES registry on March 11, 2015.

Where is Kelly Vourlos located?

Kelly Vourlos practices at 10505 Wayzata Blvd Ste 101, Minnetonka, MN 55305. The listed phone number is (952) 484-2020.

What is Kelly Vourlos's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kelly Vourlos enrolled in Medicare?

Yes. Kelly Vourlos 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 Kelly Vourlos accept?

Health plans from HealthPartners list Kelly Vourlos 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 Kelly Vourlos was last updated on July 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.