MARYBETH KIMBALL GAGE EHLERT MSW, LICSW
NPI 1851924245
Social Worker - Clinical in Minnetonka, MN

Q: What is Marybeth Ehlert's NPI number?

The NPI number for Marybeth Ehlert is 1851924245. It was assigned to this individual provider in the NPPES registry on February 13, 2020.

Q: What is Marybeth Ehlert'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 Marybeth Ehlert was last updated on August 2, 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.

Active since February 13, 2020PECOS Enrolled

12301 WHITEWATER DR STE 101, MINNETONKA, MN 55343(612) 501-6279 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 2, 2022, Jun 6, 2022, Feb 13, 2020 (3 updates tracked since 2020).

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About Marybeth Kimball Gage Ehlert Msw, Licsw NPPES

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

MARYBETH KIMBALL GAGE EHLERT MSW, LICSW (NPI 1851924245) is an individual clinical provider in Minnetonka, Minnesota, licensed in Minnesota (27432) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1851924245

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMARYBETH KIMBALL GAGE EHLERTCredential: MSW, LICSW

Location Address12301 WHITEWATER DR STE 101Minnetonka, MN 55343-4157

Mailing Address12301 Whitewater Dr Ste 101Minnetonka, MN 55343-4157 · (952) 999-6097

Phone(612) 501-6279

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateFebruary 13, 2020

Last NPPES UpdateAugust 2, 20223 updates tracked since enumeration

NPPES CertifiedAugust 2, 2022

✔ NPI 1851924245 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 · 27432

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.

12301 WHITEWATER DR STE 101, Minnetonka, MN 55343

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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)

Marybeth Kimball Gage Ehlert Msw, Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749660348

PECOS Enrollment IDI20220629000168

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 55343 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 18

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

MS. LAURA ANN JAAP M.A., L.P.

Psychologist (Counseling)