DENISE K HALDORSON (LICSW) – Clinical Social Worker, NPI 1780193821

DENISE K HALDORSON (LICSW) is a healthcare provider. based in Farmington, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 15222 (MN). The NPI Number for DENISE K HALDORSON (LICSW) is 1780193821

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DENISE K HALDORSON (LICSW)
NPI
1780193821
Phone
(218) 209-1173
Address
5662 180TH ST W
Enumeration Date
20 September 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529932400
Graduation Year
2013 (13 years ago)
PAC ID
3274891718
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20171211001837
Address ID
MN554373934BL5320XDRXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for DENISE K HALDORSON (LICSW)

  • 5662, 180th Street West, Farmington, Dakota County, Minnesota, 55024, United States

    FARMINGTON, MN 550248889

    Phone: (218) 209-1173

    Type: Mailing

  • 5662 180th St W

    Farmington, MN 550248889

    Phone: (218) 209-1173

    Type: Location

  • 3800, Park Nicollet Boulevard, Elmwood, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    ST LOUIS PARK, MN 554162527

    Phone: (952) 993-3400

    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: 2017-12-11

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
I20171211001837IClinical 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 minutes19018$0
View full utilization report →

Insurance plans in this area (ZIP 55024)

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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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

Does DENISE K HALDORSON (LICSW) have a public NPI I can cite?
Public records show DENISE K HALDORSON (LICSW) under NPI 1780193821.
Is DENISE K HALDORSON (LICSW) currently accepting referrals based on NPI status?
Registry metadata lists DENISE K HALDORSON (LICSW) as active.
What services align with DENISE K HALDORSON (LICSW)'s listing?
DENISE K HALDORSON (LICSW)'s public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What city is tied to DENISE K HALDORSON (LICSW)?
The directory associates DENISE K HALDORSON (LICSW) with Farmington, Minnesota. Check all listed addresses for suites or satellite offices.
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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