RAPHAEL ANTHONY SZYKOWSKI (LICSW) – Clinical Social Worker, NPI 1639216583

RAPHAEL ANTHONY SZYKOWSKI (LICSW) is a healthcare provider. based in Minneapolis, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 17129 (MN). The NPI Number for RAPHAEL ANTHONY SZYKOWSKI (LICSW) is 1639216583

Main info

Male
26 Years Of Experience
Name
RAPHAEL ANTHONY SZYKOWSKI (LICSW)
NPI
1639216583
Phone
(612) 886-2524
Address
219 SE MAIN ST STE 400
Enumeration Date
31 January 2007
Last Update Date
26 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6128862524
Graduation Year
2000 (26 years ago)
PAC ID
7618465956
Group Practice PAC ID
6709045784
Professional Enrollment ID
I20251020002094
Address ID
MN554142151MI219XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for RAPHAEL ANTHONY SZYKOWSKI (LICSW)

  • 219 SE MAIN ST STE 400

    MINNEAPOLIS, MN 554142151

    Phone: (612) 886-2524

    Fax: (612) 886-2538

    Type: Mailing

  • 1315, East 24th Street, Midtown Phillips, Phillips, Minneapolis, Hennepin County, Minnesota, 55404, United States

    MINNEAPOLIS, MN 554043975

    Phone: (612) 721-9868

    Type: Mailing

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: 2025-10-20

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
I20251020002094IClinical 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 55414)

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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: 6709045784View full group profile
NameSpecialtyState
Clinical Social WorkerNY
Clinical PsychologistMN
Clinical PsychologistMN
Mental Health CounselorMN
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

What number should I use to identify RAPHAEL ANTHONY SZYKOWSKI (LICSW) for billing?
Administrative and clinical systems typically use NPI 1639216583 for RAPHAEL ANTHONY SZYKOWSKI (LICSW).
Should I treat RAPHAEL ANTHONY SZYKOWSKI (LICSW) as an active provider?
Patients and plans typically see RAPHAEL ANTHONY SZYKOWSKI (LICSW) as active in the national extract.
What services align with RAPHAEL ANTHONY SZYKOWSKI (LICSW)'s listing?
RAPHAEL ANTHONY SZYKOWSKI (LICSW)'s public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is RAPHAEL ANTHONY SZYKOWSKI (LICSW) tied to Minneapolis, Minnesota?
If you are local to Minneapolis, Minnesota, RAPHAEL ANTHONY SZYKOWSKI (LICSW) may be relevant to your search.
Who maintains RAPHAEL ANTHONY SZYKOWSKI (LICSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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