STEPHANIE HYACINTH TKACH L.I.C.S.W.
NPI 1851608749
Social Worker - Clinical in Minneapolis, MN

Q: What is Stephanie Tkach's NPI number?

The NPI number for Stephanie Tkach is 1851608749. It was assigned to this individual provider in the NPPES registry on September 13, 2010.

Q: What is Stephanie Tkach's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stephanie Tkach was last updated on January 24, 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.

Active since September 13, 2010PECOS EnrolledAccepts Medicare Assignment

2908 HUMBOLDT AVE S, SUITE 6, MINNEAPOLIS, MN 55408(612) 558-6760 Get Directions Write a Review

NPPES record last updated: January 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Stephanie Hyacinth Tkach L.i.c.s.w. NPPES

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

STEPHANIE HYACINTH TKACH L.I.C.S.W. (NPI 1851608749) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (17117) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1851608749

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSTEPHANIE HYACINTH TKACHCredential: L.I.C.S.W.

Location Address2908 HUMBOLDT AVE S, SUITE 6Minneapolis, MN 55408-1953

Mailing Address5752 Irving Avenue SouthMinneapolis, MN 55419 · (612) 558-6760

Phone(612) 558-6760

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateSeptember 13, 2010

Last NPPES UpdateJanuary 24, 2019

✔ NPI 1851608749 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 · 17117

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.

2908 HUMBOLDT AVE S, Minneapolis, MN 55408

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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

Stephanie Hyacinth Tkach L.i.c.s.w. 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 ID3971728163

PECOS Enrollment IDI20140701002312

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 55408 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.

MR. MANZAR IMTIAZ LARI M.A., LP, LICSW

Psychologist