MARY L RYMANOWSKI (LICSW) – Clinical Social Worker, NPI 1871565929

MARY L RYMANOWSKI (LICSW) is a healthcare provider. based in Bloomington, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 14204 (MN). The NPI Number for MARY L RYMANOWSKI (LICSW) is 1871565929

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MARY L RYMANOWSKI (LICSW)
NPI
1871565929
Phone
(952) 883-5463
Address
8100 34TH AVE S
Enumeration Date
3 February 2006
Last Update Date
23 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7012343200
Graduation Year
1999 (27 years ago)
PAC ID
0840280897
Group Practice PAC ID
8426967803
Professional Enrollment ID
I20040513000370
Address ID
MN565607926MO4000XSXXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

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Provider Addresses for MARY L RYMANOWSKI (LICSW)

  • 34th Avenue South, Bloomington, Hennepin County, Minnesota, 55425, United States

    MAIL STOP 21110Q

    BLOOMINGTON, MN 554251672

    Phone: (952) 883-5463

    Fax: (952) 883-5395

    Type: Mailing

  • 1301, 8th Street South, Moorhead, Clay County, Minnesota, 56560, United States

    MOORHEAD, MN 565603604

    Phone: (701) 234-3100

    Fax: (701) 234-3168

    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: 2004-05-13

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
I20040513000370IClinical 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 minutes6712$0
90791Psychiatric diagnostic evaluation1616$0
View full utilization report →

Insurance plans in this area (ZIP 55425)

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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: 8426967803View full group profile

Reviews

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Frequently asked questions

What NPI should I save for MARY L RYMANOWSKI (LICSW)?
Save NPI 1871565929 if you need a stable reference for MARY L RYMANOWSKI (LICSW).
Is MARY L RYMANOWSKI (LICSW) currently active in the NPI registry?
CMS-published data lists MARY L RYMANOWSKI (LICSW) as an active registrant.
What kind of provider is MARY L RYMANOWSKI (LICSW)?
The page reflects Clinical Social Worker for MARY L RYMANOWSKI (LICSW). Clinical services aligned with this taxonomy classification.
Does MARY L RYMANOWSKI (LICSW) practice in Minnesota?
You will see Bloomington, Minnesota on file for MARY L RYMANOWSKI (LICSW) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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