MISS KEEVA NICOLE HARTLEY (MSW LICSW) – Clinical Social Worker, NPI 1932181658
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MISS KEEVA NICOLE HARTLEY (MSW LICSW)
1345 Mendota Heights Rd Ste 600
Mendota Heights, MN 551202006
Phone: (651) 313-8080
Type: Location
7616, Currell Boulevard, Woodbury, Washington County, Minnesota, 55125, United States
BHSI LLC SUITE 290
WOODBURY, MN 551258204
Phone: (651) 769-6550
Fax: (651) 769-6599
Type: Location
2497, 7th Avenue East, North Saint Paul, Ramsey County, Minnesota, 55109, United States
BHSI LLC SUITE 101
NORTH ST PAUL, MN 551092496
Phone: (651) 769-6437
Fax: (651) 769-6426
Type: Mailing
7800 METRO PKWY STE 300
BLOOMINGTON, MN 554251509
Phone: (612) 554-3740
Fax: (651) 344-4406
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2007-03-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070305000418 | I | Clinical Social Worker | MN | TBD |
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.
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 55120)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.