MS. ELOUISE 'ELLIE' A KNUTSON (MSW LICSW) – Clinical Social Worker, NPI 1972640464

MS. ELOUISE 'ELLIE' A KNUTSON (MSW LICSW) is a healthcare provider. based in Kerkhoven, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW LICSW. They hold a License No. 11513 (MN). The NPI Number for MS. ELOUISE 'ELLIE' A KNUTSON (MSW LICSW) is 1972640464

Main info

Female
28 Years Of Experience
Name
MS. ELOUISE 'ELLIE' A KNUTSON (MSW LICSW)
NPI
1972640464
Phone
(320) 220-2159
Address
1535 110TH ST SE
Enumeration Date
31 January 2007
Last Update Date
31 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
3779664446
Group Practice PAC ID
6800925157
Professional Enrollment ID
I20080118000645
Address ID
MN562013269WI328XXSWXX401
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

Provider Addresses for MS. ELOUISE 'ELLIE' A KNUTSON (MSW LICSW)

  • 1535 110TH ST SE

    KERKHOVEN, MN 562529564

    Phone: (320) 220-2159

    Fax: (320) 235-0099

    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: 2008-01-18

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
I20080118000645IClinical 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 hour11815$0
View full utilization report →

Insurance plans in this area (ZIP 56252)

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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: 6800925157View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Clinical Social WorkerMN
-MN

Reviews

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Frequently asked questions

Is MS. ELOUISE 'ELLIE' A KNUTSON (MSW LICSW) listed with a National Provider Identifier?
Yes — MS. ELOUISE 'ELLIE' A KNUTSON (MSW LICSW) has NPI 1972640464 on file in the registry.
Is MS. ELOUISE 'ELLIE' A KNUTSON (MSW LICSW) shown as active in public data?
Registry records indicate MS. ELOUISE 'ELLIE' A KNUTSON (MSW LICSW) maintains an active NPI.
What area of care is associated with MS. ELOUISE 'ELLIE' A KNUTSON (MSW LICSW)?
MS. ELOUISE 'ELLIE' A KNUTSON (MSW LICSW)'s record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MS. ELOUISE 'ELLIE' A KNUTSON (MSW LICSW) associated with Kerkhoven?
Public fields place MS. ELOUISE 'ELLIE' A KNUTSON (MSW LICSW) around Kerkhoven, Minnesota. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MS. ELOUISE 'ELLIE' A KNUTSON (MSW LICSW) is noted as January 31, 2007 where the registry provides it.

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