ANNE BUSHNELL (LICSW) – Clinical Social Worker, NPI 1043745078

ANNE BUSHNELL (LICSW) is a healthcare provider. based in Eagan, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 19734 (MN). The NPI Number for ANNE BUSHNELL (LICSW) is 1043745078

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
ANNE BUSHNELL (LICSW)
NPI
1043745078
Phone
Not provided
Address
3460 WASHINGTON DR STE 200
Enumeration Date
27 April 2017
Last Update Date
24 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6517696200
Graduation Year
2009 (17 years ago)
PAC ID
2163786401
Group Practice PAC ID
3274504816
Professional Enrollment ID
I20180514001281
Address ID
MN551224302EA3460XDRXX303
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

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Provider Addresses for ANNE BUSHNELL (LICSW)

  • Washington Drive, Eagan, Dakota County, Minnesota, 55122, United States

    EAGAN, MN 551224302

    Phone:

    Mailing address matches the actual address.

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: 2018-05-14

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
I20180514001281IClinical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour15517$0
View full utilization report →

Insurance plans in this area (ZIP 55122)

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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: 3274504816View full group profile
NameSpecialtyState
-MN
Marriage And Family TherapistMN
Physician AssistantAZ
P S Y C H I A T R YMN
Mental Health CounselorMN
Clinical Social WorkerMN
Nurse PractitionerMN
Mental Health CounselorMN
Clinical PsychologistMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

Where can patients find ANNE BUSHNELL (LICSW)'s NPI?
You can confirm ANNE BUSHNELL (LICSW) with NPI 1043745078; it appears in the national provider directory.
Is ANNE BUSHNELL (LICSW) active in the national directory?
ANNE BUSHNELL (LICSW)'s public NPI profile is in an active state.
Can you summarize ANNE BUSHNELL (LICSW)'s specialty in plain language?
Clinically, the directory lists ANNE BUSHNELL (LICSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is ANNE BUSHNELL (LICSW)'s primary listing?
We display Eagan, Minnesota because that is what the record indicates for ANNE BUSHNELL (LICSW).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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