Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BREEZY RAE TATE MSW, LICSW
NPI 1891570180
Social Worker in Saint Michael, MN

Q: What is Breezy Tate's NPI number?

The NPI number for Breezy Tate is 1891570180. It was assigned to this individual provider in the NPPES registry on August 28, 2023. The provider is also known as Briehana Rae Martin Msw, Licsw.

Q: What is Breezy Tate's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Breezy Tate was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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 August 28, 2023PECOS Enrolled

703 THIELEN DR, SAINT MICHAEL, MN 55376(763) 515-4563 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 14, 2026, Aug 28, 2023 (2 updates tracked since 2023).

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About Breezy Rae Tate Msw, Licsw NPPES

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

BREEZY RAE TATE MSW, LICSW (NPI 1891570180) is an individual social worker in Saint Michael, Minnesota, licensed in Minnesota (27311) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891570180

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameBREEZY RAE TATECredential: MSW, LICSW

Location Address703 THIELEN DRSaint Michael, MN 55376-9613

Mailing Address703 Thielen DrSaint Michael, MN 55376-9613 · (614) 753-6073

Phone(763) 515-4563

Sole ProprietorYes

Enumeration DateAugust 28, 2023

Last NPPES UpdateSeptember 14, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2026

✔ NPI 1891570180 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 · 27311

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.

703 THIELEN DR, Saint Michael, MN 55376

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Other Names 1

Former Name (1)Briehana Rae Martin Msw, Licsw

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)

Breezy Rae Tate Msw, Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

CELIJOANN GONZALEZ

Counselor (Mental Health)