LYNN HEIDEMANN (LICSW) – Clinical Social Worker, NPI 1285970004

LYNN HEIDEMANN (LICSW) is a healthcare provider. based in Maple grove, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 22097 (MN). The NPI Number for LYNN HEIDEMANN (LICSW) is 1285970004

Main info

Female
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
LYNN HEIDEMANN (LICSW)
NPI
1285970004
Phone
(612) 790-3402
Address
8097 KIRKWOOD LN N
Enumeration Date
26 December 2012
Last Update Date
6 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7634829598
Graduation Year
1991 (35 years ago)
PAC ID
1153556683
Group Practice PAC ID
0941661482
Professional Enrollment ID
I20131108000711
Address ID
MN553044259AN1875XNWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for LYNN HEIDEMANN (LICSW)

  • 8097 KIRKWOOD LN N

    MAPLE GROVE, MN 553697181

    Phone: (612) 790-3402

    Type: Mailing

  • 13603 80TH CIR N

    MAPLE GROVE, MN 553698961

    Phone: (763) 274-3120

    Fax: (763) 274-3121

    Type: Location

  • 2915 123RD CIR NE

    BLAINE, MN 554495878

    Phone: (612) 790-3402

    Type: Mailing

  • 11870 ULYSSES ST NE STE 200

    BLAINE, MN 554344193

    Phone: (763) 482-9598

    Fax: (612) 235-6447

    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: 2013-11-08

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
I20131108000711IClinical 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
90837Psychotherapy, 1 hour9619$0
90834Psychotherapy, 45 minutes1711$0
90791Psychiatric diagnostic evaluation1111$0
View full utilization report →

Insurance plans in this area (ZIP 55369)

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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: 0941661482View full group profile
NameSpecialtyState
Mental Health CounselorNE
Clinical Social WorkerMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

What NPI should I save for LYNN HEIDEMANN (LICSW)?
Save NPI 1285970004 if you need a stable reference for LYNN HEIDEMANN (LICSW).
Does this profile mean LYNN HEIDEMANN (LICSW) is currently active?
Yes — LYNN HEIDEMANN (LICSW) appears active in the national provider directory.
What field does LYNN HEIDEMANN (LICSW) work in?
You can think of LYNN HEIDEMANN (LICSW) as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is LYNN HEIDEMANN (LICSW)'s primary listing?
We display Maple Grove, Minnesota because that is what the record indicates for LYNN HEIDEMANN (LICSW).
What if Maple Grove, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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