ABBE DALE (LICSW) – Clinical Social Worker, NPI 1265098347

ABBE DALE (LICSW) is a healthcare provider. based in Cokato, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 22921 (MN). The NPI Number for ABBE DALE (LICSW) is 1265098347

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
ABBE DALE (LICSW)
NPI
1265098347
Phone
(715) 557-2181
Address
625 SWANSON AVE SE
Enumeration Date
14 May 2019
Last Update Date
11 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3206825225
Graduation Year
2013 (13 years ago)
PAC ID
8426389974
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20191014002991
Address ID
MN553021109AN440XXEXXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

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Provider Addresses for ABBE DALE (LICSW)

  • 625, Swanson Avenue, Pleasant Terrace Mobile Home Park, Cokato, Wright County, Minnesota, 55321, United States

    COKATO, MN 553214230

    Phone: (715) 557-2181

    Type: Mailing

  • 2925 CHICAGO AVE

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-9000

    Type: Mailing

  • 440, Elm Street East, Annandale, Wright County, Minnesota, 55302, United States

    ANNANDALE, MN 553021109

    Phone: (320) 274-3744

    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: 2019-10-14

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
I20191014002991IClinical 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 55321)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

What is the registry number for ABBE DALE (LICSW)?
The registry entry for ABBE DALE (LICSW) shows NPI 1265098347.
Should I treat ABBE DALE (LICSW) as an active provider?
Patients and plans typically see ABBE DALE (LICSW) as active in the national extract.
What type of care does ABBE DALE (LICSW) provide?
ABBE DALE (LICSW)'s profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Which community is linked to ABBE DALE (LICSW)?
ABBE DALE (LICSW) shows a connection to Cokato, Minnesota in registry-derived data.
Who maintains ABBE DALE (LICSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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