KATHRYN LEA GRUWELL (MSW LICSW) – Clinical Social Worker, NPI 1104275619

KATHRYN LEA GRUWELL (MSW LICSW) is a healthcare provider. based in St cloud, Minnesota. specializing in Clinical Social Worker. They hold the professional credentials MSW LICSW. They hold a License No. 13102 (MN). The NPI Number for KATHRYN LEA GRUWELL (MSW LICSW) is 1104275619

Main info

Female
22 Years Of Experience
Name
KATHRYN LEA GRUWELL (MSW LICSW)
NPI
1104275619
Phone
(320) 251-2700
Address
1406 6TH AVENUE NORTH
Enumeration Date
6 June 2016
Last Update Date
6 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3202512700
Graduation Year
2004 (22 years ago)
PAC ID
9032400684
Group Practice PAC ID
4880594779
Professional Enrollment ID
I20160629000460
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

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Provider Addresses for KATHRYN LEA GRUWELL (MSW LICSW)

  • Saint Cloud Hospital, 1406, 6th Avenue North, St. Cloud, Stearns County, Minnesota, 56303, United States

    ST CLOUD HOSPITAL

    ST CLOUD, MN 563031901

    Phone: (320) 251-2700

    Fax: (320) 656-7115

    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: 2016-06-29

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
I20160629000460IClinical 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 56303)

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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: 4880594779View full group profile
NameSpecialtyState
P S Y C H I A T R YMN
Physical Therapist In Private PracticeMN
Qualified Speech Language PathologistMN
-MN
Family PracticeMN
O B S T E T R I C S/ G Y N E C O L O G YMN
-MN
Clinical PsychologistNV
-UT
-MN

Reviews

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Frequently asked questions

Is there an official ID for KATHRYN LEA GRUWELL (MSW LICSW) in U.S. healthcare records?
The official identifier for KATHRYN LEA GRUWELL (MSW LICSW) is NPI 1104275619.
Would KATHRYN LEA GRUWELL (MSW LICSW) appear as active to a payer?
You can treat KATHRYN LEA GRUWELL (MSW LICSW) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe KATHRYN LEA GRUWELL (MSW LICSW)'s focus?
For KATHRYN LEA GRUWELL (MSW LICSW), the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is KATHRYN LEA GRUWELL (MSW LICSW) associated with St Cloud?
Public fields place KATHRYN LEA GRUWELL (MSW LICSW) around St Cloud, Minnesota. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for KATHRYN LEA GRUWELL (MSW LICSW) is noted as June 6, 2016 where the registry provides it.

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