MICHAEL KEHOE (LICSW) – Clinical Social Worker, NPI 1184718165

MICHAEL KEHOE (LICSW) is a healthcare provider. based in Saint paul, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 10311 (MN). The NPI Number for MICHAEL KEHOE (LICSW) is 1184718165

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL KEHOE (LICSW)
NPI
1184718165
Phone
Not provided
Address
1730 HILLCREST AVE
Enumeration Date
3 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6125969438
Graduation Year
1993 (33 years ago)
PAC ID
3577738087
Group Practice PAC ID
7911892849
Professional Enrollment ID
I20111212000921
Address ID
MN554074385MI2215XSTXX400
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

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Provider Addresses for MICHAEL KEHOE (LICSW)

  • 1730, West Hillcrest Avenue, Highland Village, Highland, Saint Paul, Ramsey County, Minnesota, 55116, United States

    SAINT PAUL, MN 551162151

    Phone:

    Type: Mailing

  • Eagan Counseling Clinic, 3450, Oleary Lane, Eagan, Dakota County, Minnesota, 55123, United States

    EAGAN, MN 551232340

    Phone: (651) 454-0114

    Fax: (651) 454-3492

    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: 2011-12-12

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
I20111212000921IClinical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes10620$0
90832Psychotherapy, 30 minutes4716$0
View full utilization report →

Insurance plans in this area (ZIP 55116)

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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: 7911892849View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
-MN
Clinical Social WorkerMN
Clinical PsychologistMN
Mental Health CounselorMN
Nurse PractitionerMN
-MN
-MN
Clinical Social WorkerMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

What unique ID ties claims to MICHAEL KEHOE (LICSW)?
NPI 1184718165 is assigned to MICHAEL KEHOE (LICSW) under the national enumeration system.
Is MICHAEL KEHOE (LICSW) active in the national directory?
MICHAEL KEHOE (LICSW)'s public NPI profile is in an active state.
Can you summarize MICHAEL KEHOE (LICSW)'s specialty in plain language?
Clinically, the directory lists MICHAEL KEHOE (LICSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location metadata exists for MICHAEL KEHOE (LICSW)?
The page summarizes Saint Paul, Minnesota for MICHAEL KEHOE (LICSW); expand the address list for detail.
How can I contact MICHAEL KEHOE (LICSW)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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