EMILY ROSE GUSTAFSON LICSW - NPI 1871483248 - Social Worker in Ramsey, MN

Q: What is Emily Gustafson's NPI number?

The NPI number for Emily Gustafson is 1871483248. It was assigned to this individual provider in the NPPES registry on July 8, 2025.

Q: What is Emily Gustafson'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 Emily Gustafson was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

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About Emily Rose Gustafson Licsw NPPES

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

EMILY ROSE GUSTAFSON LICSW (NPI 1871483248) is an individual clinical provider in Ramsey, Minnesota, licensed in Minnesota (19227) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Andover, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1871483248

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameEMILY ROSE GUSTAFSONCredential: LICSW

Location Address15243 NOWTHEN BLVD NWRamsey, MN 55303-6138

Mailing Address9774 Magnolia St NwCoon Rapids, MN 55433-5431 · (763) 807-5707

Phone(612) 900-0233

Fax(866) 627-0910

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 8, 2025

NPPES CertifiedJuly 8, 2025

✔ NPI 1871483248 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 · 19227

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.

15243 NOWTHEN BLVD NW, Ramsey, MN 55303

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Secondary Practice Location 1

Location 12705 Bunker Lake Blvd NW Ste 112Andover, MN 55304-3785 · Phone (612) 900-0233 · Fax (866) 627-0910

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)

Emily Rose Gustafson Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921501487

PECOS Enrollment IDI20250911000541

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 55303 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 5

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

MINNESOTA DENTAL PROFESSIONALS, P.C.

Dentist (General Practice)