MATTHEW J MCKAY (MSW, LICSW) – Clinical Social Worker, NPI 1073765111

MATTHEW J MCKAY (MSW, LICSW) is a healthcare provider. based in Rochester, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LICSW. They hold a License No. 13210 (MN). The NPI Number for MATTHEW J MCKAY (MSW, LICSW) is 1073765111

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW J MCKAY (MSW, LICSW)
NPI
1073765111
Phone
(507) 287-2010
Address
1110 6TH ST NW
Enumeration Date
21 October 2008
Last Update Date
21 October 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5072892089
Graduation Year
2001 (25 years ago)
PAC ID
3476814401
Group Practice PAC ID
7810961703
Professional Enrollment ID
I20180307002108
Address ID
MN559046242RO343XXSEXX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

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Provider Addresses for MATTHEW J MCKAY (MSW, LICSW)

  • Coulee Bank, 1110, 6th Street Northwest, Barlow Plaza, Rochester, Olmsted County, Minnesota, 55901, United States

    ROCHESTER, MN 559011839

    Phone: (507) 287-2010

    Fax: (507) 287-7805

    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: 2018-03-07

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
I20180307002108IClinical 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 55901)

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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: 7810961703View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Clinical Social WorkerMN
-MN
Clinical Social WorkerMN
Mental Health CounselorMN
-MN
Clinical Social WorkerMN
Mental Health CounselorMN
Psychiatry, NeurologySD
Internal MedicineMN

Reviews

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Frequently asked questions

Is MATTHEW J MCKAY (MSW, LICSW) listed with a National Provider Identifier?
Yes — MATTHEW J MCKAY (MSW, LICSW) has NPI 1073765111 on file in the registry.
Is there an active status for MATTHEW J MCKAY (MSW, LICSW)?
For scheduling context, MATTHEW J MCKAY (MSW, LICSW) is shown as active in the registry.
What area of care is associated with MATTHEW J MCKAY (MSW, LICSW)?
MATTHEW J MCKAY (MSW, LICSW)'s record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MATTHEW J MCKAY (MSW, LICSW)?
Travel planning: use Rochester, Minnesota as the reference point for MATTHEW J MCKAY (MSW, LICSW), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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