MARY MURZYN (LICSW) – Clinical Social Worker, NPI 1326424722

MARY MURZYN (LICSW) is a healthcare provider. based in Columbia heights, Minnesota. specializing in Clinical Social Worker. They hold the professional credentials LICSW. They hold a License No. 19339 (MN). The NPI Number for MARY MURZYN (LICSW) is 1326424722

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
MARY MURZYN (LICSW)
NPI
1326424722
Phone
(612) 250-9448
Address
4056 MADISON ST NE
Enumeration Date
7 August 2015
Last Update Date
3 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9525446806
Graduation Year
2011 (15 years ago)
PAC ID
5193033132
Group Practice PAC ID
8426064338
Professional Enrollment ID
I20150924002334
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for MARY MURZYN (LICSW)

  • 4056 MADISON ST NE

    COLUMBIA HEIGHTS, MN 554212809

    Phone: (612) 250-9448

    Type: Location

  • 10201 Wayzata Blvd Ste 100

    Minnetonka, MN 553051500

    Phone: (952) 544-6806

    Type: Location

  • 1875 STATION PKWY NW

    ANDOVER, MN 553043319

    Phone: (612) 250-9448

    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: 2015-09-24

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
I20150924002334IClinical 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 55421)

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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: 8426064338View full group profile
NameSpecialtyState
-KS
P S Y C H I A T R YMN
Mental Health CounselorMN
P S Y C H I A T R YMN
P S Y C H I A T R YMN
P S Y C H I A T R YMN
P S Y C H I A T R YMN
-MN
Mental Health CounselorMN
Clinical PsychologistMN

Reviews

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Frequently asked questions

How do payers reference MARY MURZYN (LICSW)?
For MARY MURZYN (LICSW), use NPI 1326424722 as the unique 10-digit identifier.
Active or inactive — what applies to MARY MURZYN (LICSW)?
You should see MARY MURZYN (LICSW) as active in CMS-hosted NPPES data.
What area of care is associated with MARY MURZYN (LICSW)?
MARY MURZYN (LICSW)'s record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Minnesota is MARY MURZYN (LICSW) registered?
Use Columbia Heights, Minnesota as the headline location for MARY MURZYN (LICSW) here.
When was this NPI issued?
Enumeration for MARY MURZYN (LICSW) is noted as August 7, 2015 where the registry provides it.

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