JENNIFER LEIGH VLACH (LICSW) – Clinical Social Worker, NPI 1184692949
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,310 CLINICAL SOCIAL WORKER in MN
Provider Addresses for JENNIFER LEIGH VLACH (LICSW)
1875 STATION PKWY NW
ANDOVER, MN 553043319
Phone: (763) 482-9598
Fax: (612) 235-6447
Type: Location
Nicollet Avenue, Richfield, Hennepin County, Minnesota, 55423, United States
RICHFIELD, MN 554231668
Phone: (612) 861-1675
Fax: (612) 861-3446
Type: Location
733, Rucks Farm Road, Delano, Wright County, Minnesota, 55328, United States
DELANO, MN 553288733
Phone: (763) 786-1425
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: 2007-02-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070213000187 | I | Clinical Social Worker | MN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes | 19 | 17 | $0 |
| 90839 | Psychotherapy for crisis, first hour | 19 | 17 | $0 |
Insurance plans in this area (ZIP 55304)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| - | MN | |
| - | KY | |
| Internal Medicine | MN | |
| - | MN | |
| Cardiovascular Disease (Cardiology) | MN | |
| - | WI | |
| Medical Oncology, Hematology | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| N E U R O S U R G E R Y | CO |
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