DENISE K HALDORSON LICSW
NPI 1780193821
Social Worker - Clinical in St Louis Park, MN
About Denise K Haldorson Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DENISE K HALDORSON LICSW (NPI 1780193821) is an individual clinical provider in St Louis Park, Minnesota, licensed in Minnesota (15222) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Farmington, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Denise K Haldorson 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.
Medicare Billing Reassignment
Medicare enrollment records show Denise Haldorson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 2,527 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55416
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
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 Denise Haldorson's NPI number?
The NPI number for Denise Haldorson is 1780193821. It was assigned to this individual provider in the NPPES registry on September 20, 2017.
Where is Denise Haldorson located?
Denise Haldorson practices at 3800 Park Nicollet Blvd, St Louis Park, MN 55416. The listed phone number is (952) 993-3400.
What is Denise Haldorson's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Denise Haldorson enrolled in Medicare?
Yes. Denise Haldorson 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 Denise Haldorson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Denise Haldorson reassigns Medicare benefits to Park Nicollet Clinic (St Louis Park, 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 Denise Haldorson'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 Denise Haldorson was last updated on July 21, 2022. 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.
# Denise K Haldorson, LICSW · NPI 1780193821
Clinical provider in St Louis Park, Minnesota. Individual provider, active in the CMS NPPES registry since September 20, 2017.
## Identity
- **NPI:** 1780193821 (Entity type: Individual)
- **Enumerated:** September 20, 2017
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 15222 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 3800 PARK NICOLLET BLVD, St Louis Park, MN 55416-2527
- **Phone:** (952) 993-3400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Park Nicollet Clinic (NPI 1063897593, St Louis Park, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1780193821) · Data from the CMS NPPES public registry.