MR. SCOTT ALLEN WINKER (LICSW) – Social Worker, NPI 1407858921

MR. SCOTT ALLEN WINKER (LICSW) is a healthcare provider. based in Waconia, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 05722 (MN). The NPI Number for MR. SCOTT ALLEN WINKER (LICSW) is 1407858921

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
MR. SCOTT ALLEN WINKER (LICSW)
NPI
1407858921
Phone
(952) 442-4437
Address
540 E 1ST ST
Enumeration Date
15 August 2005
Last Update Date
19 February 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9524424437
Graduation Year
1989 (37 years ago)
PAC ID
2860668829
Group Practice PAC ID
8527041961
Professional Enrollment ID
I20111222000379
Address ID
MN553871601WA540XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

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Provider Addresses for MR. SCOTT ALLEN WINKER (LICSW)

  • 540, East 1st Street, Old Orchard, Waconia, Carver County, Minnesota, 55387, United States

    WACONIA, MN 553871601

    Phone: (952) 442-4437

    Fax: (952) 442-3084

    Mailing address matches the actual address.

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: 2011-12-22

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
I20111222000379IClinical 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 minutes7912$0
View full utilization report →

Insurance plans in this area (ZIP 55387)

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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: 8527041961View full group profile

Reviews

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Frequently asked questions

What number should I use to identify MR. SCOTT ALLEN WINKER (LICSW) for billing?
Administrative and clinical systems typically use NPI 1407858921 for MR. SCOTT ALLEN WINKER (LICSW).
Is MR. SCOTT ALLEN WINKER (LICSW) currently accepting referrals based on NPI status?
Registry metadata lists MR. SCOTT ALLEN WINKER (LICSW) as active.
What services align with MR. SCOTT ALLEN WINKER (LICSW)'s listing?
MR. SCOTT ALLEN WINKER (LICSW)'s public classification highlights Social Worker. Clinical services aligned with this taxonomy classification.
Can patients visit MR. SCOTT ALLEN WINKER (LICSW) in Waconia, Minnesota?
For routing, start with Waconia, Minnesota for MR. SCOTT ALLEN WINKER (LICSW), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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