KIRSTEN CLARK REWEY (MSW, L.I.C.S.W.) – Clinical Social Worker, NPI 1578983946

KIRSTEN CLARK REWEY (MSW, L.I.C.S.W.) is a healthcare provider. based in Edina, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, L.I.C.S.W.. They hold a License No. 12663 (MN). The NPI Number for KIRSTEN CLARK REWEY (MSW, L.I.C.S.W.) is 1578983946

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
KIRSTEN CLARK REWEY (MSW, L.I.C.S.W.)
NPI
1578983946
Phone
(952) 926-4884
Address
4528 BRUCE AVE
Enumeration Date
23 April 2014
Last Update Date
23 April 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
86652224725
Graduation Year
1996 (30 years ago)
PAC ID
4688899941
Group Practice PAC ID
0840554218
Professional Enrollment ID
I20140701000777
Address ID
MN554165826ST4500XRDXX401
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 KIRSTEN CLARK REWEY (MSW, L.I.C.S.W.)

  • 4528 BRUCE AVE

    EDINA, MN 554241121

    Phone: (952) 926-4884

    Type: Mailing

  • 2809 WAYZATA BLVD

    MINNEAPOLIS, MN 554052125

    Phone: (612) 377-9190

    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: 2014-07-01

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
I20140701000777IClinical 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 55424)

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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: 0840554218View full group profile
NameSpecialtyState
Mental Health CounselorMN
Clinical Social WorkerMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

What identifier follows KIRSTEN CLARK REWEY (MSW, L.I.C.S.W.) across health systems?
The NPI 1578983946 uniquely identifies KIRSTEN CLARK REWEY (MSW, L.I.C.S.W.) in U.S. healthcare data.
Does the public listing show KIRSTEN CLARK REWEY (MSW, L.I.C.S.W.) as active?
KIRSTEN CLARK REWEY (MSW, L.I.C.S.W.)'s NPI record reflects an active status in NPPES.
What does the directory say KIRSTEN CLARK REWEY (MSW, L.I.C.S.W.) does?
Insurance directories may phrase it differently, but here KIRSTEN CLARK REWEY (MSW, L.I.C.S.W.) maps to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Can patients visit KIRSTEN CLARK REWEY (MSW, L.I.C.S.W.) in Edina, Minnesota?
For routing, start with Edina, Minnesota for KIRSTEN CLARK REWEY (MSW, L.I.C.S.W.), then verify phone and hours locally.
Why is information missing for KIRSTEN CLARK REWEY (MSW, L.I.C.S.W.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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