MS. DEBORAH JEANNE FARRELL (LICSW) – Clinical Social Worker, NPI 1912076712

MS. DEBORAH JEANNE FARRELL (LICSW) is a healthcare provider. based in Park rapids, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 16926 (MN). The NPI Number for MS. DEBORAH JEANNE FARRELL (LICSW) is 1912076712

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MS. DEBORAH JEANNE FARRELL (LICSW)
NPI
1912076712
Phone
(218) 366-9229
Address
515 BRIDGE ST
Enumeration Date
7 November 2006
Last Update Date
5 May 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2183662636
Graduation Year
2004 (22 years ago)
PAC ID
8729185491
Group Practice PAC ID
5991017402
Professional Enrollment ID
I20070515000464
Address ID
MN564701300PA1003XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

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Provider Addresses for MS. DEBORAH JEANNE FARRELL (LICSW)

  • 515, Bridge Street, Park Rapids, Hubbard County, Minnesota, 56470, United States

    PARK RAPIDS, MN 564701210

    Phone: (218) 366-9229

    Fax: (218) 237-2520

    Mailing address matches the actual address.

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: 2007-05-15

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
I20070515000464IClinical 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 56470)

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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: 5991017402View full group profile

Reviews

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Frequently asked questions

What identifier follows MS. DEBORAH JEANNE FARRELL (LICSW) across health systems?
The NPI 1912076712 uniquely identifies MS. DEBORAH JEANNE FARRELL (LICSW) in U.S. healthcare data.
Does the public listing show MS. DEBORAH JEANNE FARRELL (LICSW) as active?
MS. DEBORAH JEANNE FARRELL (LICSW)'s NPI record reflects an active status in NPPES.
What does the directory say MS. DEBORAH JEANNE FARRELL (LICSW) does?
Insurance directories may phrase it differently, but here MS. DEBORAH JEANNE FARRELL (LICSW) maps to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MS. DEBORAH JEANNE FARRELL (LICSW) tied to Park Rapids, Minnesota?
If you are local to Park Rapids, Minnesota, MS. DEBORAH JEANNE FARRELL (LICSW) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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