KER XIONG (MSW,LGSW) – Mental Health Counselor, NPI 1548809890

KER XIONG (MSW,LGSW) is a healthcare provider. based in Brooklyn park, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW,LGSW. The NPI Number for KER XIONG (MSW,LGSW) is 1548809890

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
KER XIONG (MSW,LGSW)
NPI
1548809890
Phone
(612) 360-5547
Address
6741 SHINGLE CREEK DR
Enumeration Date
3 January 2020
Last Update Date
3 January 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
9525643880
Graduation Year
2012 (14 years ago)
PAC ID
5597126292
Group Practice PAC ID
6406764703
Professional Enrollment ID
I20230727002520
Address ID
MN554164728ST4201XBLVD300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for KER XIONG (MSW,LGSW)

  • 6741 SHINGLE CREEK DR

    BROOKLYN PARK, MN 554452645

    Phone: (612) 360-5547

    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: 2023-07-27

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
I20230727002520IClinical 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 55445)

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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: 6406764703View full group profile
NameSpecialtyState
P S Y C H I A T R YMN
Clinical PsychologistMN
Family PracticeMN
C H I R O P R A C T I CMN
-MN
Internal Medicine, General SurgeryMN
Internal MedicineMN
Internal MedicineMN
Pain ManagementMN
Physical Therapist In Private PracticeMN

Reviews

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Frequently asked questions

How do payers reference KER XIONG (MSW,LGSW)?
For KER XIONG (MSW,LGSW), use NPI 1548809890 as the unique 10-digit identifier.
Would KER XIONG (MSW,LGSW) appear as active to a payer?
You can treat KER XIONG (MSW,LGSW) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with KER XIONG (MSW,LGSW)?
KER XIONG (MSW,LGSW)'s record emphasizes Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is KER XIONG (MSW,LGSW) located near Brooklyn Park?
KER XIONG (MSW,LGSW) currently maps to Brooklyn Park, Minnesota in this extract.
Can I trust this NPI listing for KER XIONG (MSW,LGSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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