ELIZABETH PADILLA (LICSW) – Clinical Social Worker, NPI 1568898831

ELIZABETH PADILLA (LICSW) is a healthcare provider. based in Edina, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 20367 (MN). The NPI Number for ELIZABETH PADILLA (LICSW) is 1568898831

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH PADILLA (LICSW)
NPI
1568898831
Phone
(612) 701-0186
Address
5912 ABBOTT AVE S
Enumeration Date
18 September 2013
Last Update Date
18 September 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8003365973
Graduation Year
2010 (16 years ago)
PAC ID
5395971345
Group Practice PAC ID
1355500752
Professional Enrollment ID
I20131121000291
Address ID
MN554033380MI1915XSXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for ELIZABETH PADILLA (LICSW)

  • 5912 ABBOTT AVE S

    EDINA, MN 554102812

    Phone: (612) 701-0186

    Type: Mailing

  • 1811 WEIR DR

    SUITE 355

    WOODBURY, MN 551252272

    Phone: (651) 254-8580

    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: 2013-11-21

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
I20131121000291IClinical 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 55410)

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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: 1355500752View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
Mental Health CounselorMN
Marriage And Family TherapistMN
-MN
Marriage And Family TherapistMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

Is ELIZABETH PADILLA (LICSW) listed with a National Provider Identifier?
Yes — ELIZABETH PADILLA (LICSW) has NPI 1568898831 on file in the registry.
Active or inactive — what applies to ELIZABETH PADILLA (LICSW)?
You should see ELIZABETH PADILLA (LICSW) as active in CMS-hosted NPPES data.
What kind of doctor is ELIZABETH PADILLA (LICSW)?
ELIZABETH PADILLA (LICSW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is ELIZABETH PADILLA (LICSW) located near Edina?
ELIZABETH PADILLA (LICSW) currently maps to Edina, Minnesota in this extract.
Can I trust this NPI listing for ELIZABETH PADILLA (LICSW)?
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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