MS. DIANE KAYE DUNN (LICSW) – Clinical Social Worker, NPI 1164457594

MS. DIANE KAYE DUNN (LICSW) is a healthcare provider. based in Worthington, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 13981 (MN). The NPI Number for MS. DIANE KAYE DUNN (LICSW) is 1164457594

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
MS. DIANE KAYE DUNN (LICSW)
NPI
1164457594
Phone
(507) 820-1545
Address
1029 3rd Ave Ste 2
Enumeration Date
12 July 2006
Last Update Date
6 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5073764368
Graduation Year
1998 (28 years ago)
PAC ID
8325215205
Professional Enrollment ID
I20120117000623
Address ID
MN561872399WO1029XAVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for MS. DIANE KAYE DUNN (LICSW)

  • 1029 3rd Ave Ste 2

    Worthington, MN 561872399

    Phone: (507) 820-1545

    Fax: (507) 825-9978

    Type: Location

  • PO BOX 802

    WORTHINGTON, MN 561870802

    Phone:

    Type: Mailing

  • 1234, Oxford Street, Worthington, Nobles County, Minnesota, 56187, United States

    WORTHINGTON, MN 561871760

    Phone: (507) 376-9758

    Type: Location

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: 2012-01-17

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
I20120117000623IClinical 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 56187)

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Reviews

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Frequently asked questions

Does MS. DIANE KAYE DUNN (LICSW) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MS. DIANE KAYE DUNN (LICSW) uses 1164457594.
Is MS. DIANE KAYE DUNN (LICSW) still practicing?
MS. DIANE KAYE DUNN (LICSW) is currently listed as active in the public NPI registry.
What healthcare role does MS. DIANE KAYE DUNN (LICSW) hold?
Scheduling teams often label MS. DIANE KAYE DUNN (LICSW) under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Does MS. DIANE KAYE DUNN (LICSW) list a practice location?
Patients near Worthington, Minnesota may find MS. DIANE KAYE DUNN (LICSW) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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