MRS. SUSAN ELIZABETH PRANGE GATTO (LICSW) – Clinical Social Worker, NPI 1104120203

MRS. SUSAN ELIZABETH PRANGE GATTO (LICSW) is a healthcare provider. based in Woodbury, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 19149 (MN). The NPI Number for MRS. SUSAN ELIZABETH PRANGE GATTO (LICSW) is 1104120203

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SUSAN ELIZABETH PRANGE GATTO (LICSW)
NPI
1104120203
Phone
Not provided
Address
7616 CURRELL BLVD STE 100
Enumeration Date
4 January 2011
Last Update Date
3 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2008 (18 years ago)
PAC ID
4284168618
Group Practice PAC ID
9335288786
Professional Enrollment ID
I20241107003510
Address ID
MN554431814BR9400XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for MRS. SUSAN ELIZABETH PRANGE GATTO (LICSW)

  • 7616 CURRELL BLVD STE 100

    WOODBURY, MN 551252295

    Phone:

    Type: Mailing

  • 5500 94TH AVE N

    BROOKLYN PARK, MN 554431992

    Phone: (763) 762-6800

    Fax: (763) 315-6685

    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: 2024-11-07

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
I20241107003510IClinical 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 55125)

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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: 9335288786View full group profile
NameSpecialtyState
Nurse PractitionerMN
P S Y C H I A T R YMN
Nurse PractitionerMN
Mental Health CounselorFL
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Certified Clinical Nurse Specialist (Cns)MN

Reviews

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Frequently asked questions

Can I cross-check MRS. SUSAN ELIZABETH PRANGE GATTO (LICSW) using NPI 1104120203?
NPI 1104120203 belongs to MRS. SUSAN ELIZABETH PRANGE GATTO (LICSW); compare other details if you need extra assurance.
Is MRS. SUSAN ELIZABETH PRANGE GATTO (LICSW) still an active registrant?
MRS. SUSAN ELIZABETH PRANGE GATTO (LICSW) carries an active NPI according to the public dataset.
What kind of doctor is MRS. SUSAN ELIZABETH PRANGE GATTO (LICSW)?
MRS. SUSAN ELIZABETH PRANGE GATTO (LICSW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is MRS. SUSAN ELIZABETH PRANGE GATTO (LICSW) located near Woodbury?
MRS. SUSAN ELIZABETH PRANGE GATTO (LICSW) currently maps to Woodbury, Minnesota in this extract.
When was this NPI issued?
Enumeration for MRS. SUSAN ELIZABETH PRANGE GATTO (LICSW) is noted as January 4, 2011 where the registry provides it.

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