STEPHANIE E BARNES (LICSW) – Clinical Social Worker, NPI 1003092651

STEPHANIE E BARNES (LICSW) is a healthcare provider. based in Buffalo, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 17371 (MN). The NPI Number for STEPHANIE E BARNES (LICSW) is 1003092651

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE E BARNES (LICSW)
NPI
1003092651
Phone
(763) 682-4400
Address
308 12TH AVE S
Enumeration Date
14 January 2008
Last Update Date
14 January 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7636824400
Graduation Year
2005 (21 years ago)
PAC ID
0941383541
Group Practice PAC ID
4486555877
Professional Enrollment ID
I20080205000575
Address ID
MN553132321BU308XXAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

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Provider Addresses for STEPHANIE E BARNES (LICSW)

  • 12th Avenue South, Buffalo, Wright County, Minnesota, 55313, United States

    BUFFALO, MN 553132321

    Phone: (763) 682-4400

    Fax: (763) 682-1353

    Type: Location

  • 1321, 13th Street North, St. Cloud, Stearns County, Minnesota, 56303, United States

    SAINT CLOUD, MN 563032613

    Phone: (320) 252-5010

    Fax: (320) 203-1855

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-02-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080205000575IClinical Social WorkerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55313)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486555877View full group profile
NameSpecialtyState
Mental Health CounselorMN
Mental Health CounselorMN
Marriage And Family TherapistMN
-MN
Clinical Social WorkerMN
-MN
Marriage And Family TherapistMN
Mental Health CounselorMN
Mental Health CounselorMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

Can I use this page to confirm STEPHANIE E BARNES (LICSW)'s NPI?
Yes. STEPHANIE E BARNES (LICSW) is listed with NPI 1003092651 in the public NPI dataset.
Is STEPHANIE E BARNES (LICSW) listed as active for patients and plans?
The listing shows STEPHANIE E BARNES (LICSW) as active in the NPI system.
What taxonomy line describes STEPHANIE E BARNES (LICSW)?
For research purposes, treat STEPHANIE E BARNES (LICSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Does STEPHANIE E BARNES (LICSW) list a practice location?
Patients near Buffalo, Minnesota may find STEPHANIE E BARNES (LICSW) in results; validate coverage separately.
Why does STEPHANIE E BARNES (LICSW) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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