EVAN HANS TOONSTRA (LGSW) – Clinical Social Worker, NPI 1013435767

EVAN HANS TOONSTRA (LGSW) is a healthcare provider. based in Two harbors, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LGSW. They hold a License No. 26525 (MN). The NPI Number for EVAN HANS TOONSTRA (LGSW) is 1013435767

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
EVAN HANS TOONSTRA (LGSW)
NPI
1013435767
Phone
(218) 834-6005
Address
115 7TH ST
Enumeration Date
1 September 2017
Last Update Date
12 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2183271151
Graduation Year
2017 (9 years ago)
PAC ID
7618306663
Group Practice PAC ID
1153389242
Professional Enrollment ID
I20200326003101
Address ID
MN557443615GR215XXAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

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Provider Addresses for EVAN HANS TOONSTRA (LGSW)

  • 115, 7th Street, Two Harbors, Lake County, Minnesota, 55616, United States

    TWO HARBORS, MN 556161528

    Phone: (218) 834-6005

    Fax: (218) 595-1004

    Type: Location

  • 100 ELIZABETH ST APT 208

    DULUTH, MN 558032641

    Phone: (218) 259-7780

    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: 2020-03-26

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
I20200326003101IClinical 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 55616)

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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: 1153389242View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Mental Health CounselorMN
Clinical Social WorkerMN
Clinical PsychologistMN
Mental Health CounselorWI
Mental Health CounselorMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

Is there an official ID for EVAN HANS TOONSTRA (LGSW) in U.S. healthcare records?
The official identifier for EVAN HANS TOONSTRA (LGSW) is NPI 1013435767.
Active or inactive — what applies to EVAN HANS TOONSTRA (LGSW)?
You should see EVAN HANS TOONSTRA (LGSW) as active in CMS-hosted NPPES data.
What area of care is associated with EVAN HANS TOONSTRA (LGSW)?
EVAN HANS TOONSTRA (LGSW)'s record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with EVAN HANS TOONSTRA (LGSW)?
Directory geography for EVAN HANS TOONSTRA (LGSW) centers on Two Harbors, Minnesota.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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