KIMBERLY JO SCEARCY SENN (LICSW) – Clinical Social Worker, NPI 1821230772

KIMBERLY JO SCEARCY SENN (LICSW) is a healthcare provider. based in Brainerd, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 18796 (MN). The NPI Number for KIMBERLY JO SCEARCY SENN (LICSW) is 1821230772

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY JO SCEARCY SENN (LICSW)
NPI
1821230772
Phone
(218) 251-5697
Address
17170 PINE CIRCLE RD
Enumeration Date
24 March 2009
Last Update Date
5 September 2018

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA, DULUTH SCHOOL OF MEDICINE
Secondary Phone
2184540878
Graduation Year
2006 (20 years ago)
PAC ID
1951575018
Group Practice PAC ID
7214257849
Professional Enrollment ID
I20111130000008
Address ID
MN564258477BA7251XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

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Provider Addresses for KIMBERLY JO SCEARCY SENN (LICSW)

  • 17170 PINE CIRCLE RD

    BRAINERD, MN 564016135

    Phone: (218) 251-5697

    Type: Mailing

  • Excelsior Road North, Baxter, Crow Wing County, Minnesota, 56425, United States

    BAXTER, MN 56425

    Phone: (218) 454-0878

    Fax: (218) 454-0879

    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: 2011-11-30

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
I20111130000008IClinical 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
90837Psychotherapy, 1 hour29416$0
90834Psychotherapy, 45 minutes14114$0
90791Psychiatric diagnostic evaluation1414$0
View full utilization report →

Insurance plans in this area (ZIP 56401)

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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: 7214257849View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
-MN
Mental Health CounselorMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

What is the 10-digit NPI for KIMBERLY JO SCEARCY SENN (LICSW)?
KIMBERLY JO SCEARCY SENN (LICSW) — NPI 1821230772 — is the standard way to identify this listing.
Does the file indicate KIMBERLY JO SCEARCY SENN (LICSW) is practicing under active NPI?
Directory data currently reports KIMBERLY JO SCEARCY SENN (LICSW) as active.
What taxonomy line describes KIMBERLY JO SCEARCY SENN (LICSW)?
For research purposes, treat KIMBERLY JO SCEARCY SENN (LICSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for KIMBERLY JO SCEARCY SENN (LICSW)?
KIMBERLY JO SCEARCY SENN (LICSW)'s geographic hint is Brainerd, Minnesota in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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