MS. LAURA LYNN KIRLIN (LICSW) – Clinical Social Worker, NPI 1972764454

MS. LAURA LYNN KIRLIN (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. 29203 (MN). The NPI Number for MS. LAURA LYNN KIRLIN (LICSW) is 1972764454

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MS. LAURA LYNN KIRLIN (LICSW)
NPI
1972764454
Phone
(218) 366-9229
Address
515 BRIDGE ST. EAST
Enumeration Date
18 June 2008
Last Update Date
26 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2183669229
Graduation Year
2020 (6 years ago)
PAC ID
4981076304
Group Practice PAC ID
3779610472
Professional Enrollment ID
I20230214000401
Address ID
MN564701210PA515XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for MS. LAURA LYNN KIRLIN (LICSW)

  • 515 BRIDGE ST. EAST

    PARK RAPIDS, MN 564701810

    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: 2023-02-14

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
I20230214000401IClinical 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: 3779610472View full group profile
NameSpecialtyState
Mental Health CounselorMN
Mental Health CounselorMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Clinical Social WorkerMN
-MN
Clinical Social WorkerMN
Clinical Social WorkerMN
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

Does MS. LAURA LYNN KIRLIN (LICSW) have a public NPI I can cite?
Public records show MS. LAURA LYNN KIRLIN (LICSW) under NPI 1972764454.
Is MS. LAURA LYNN KIRLIN (LICSW) currently accepting referrals based on NPI status?
Registry metadata lists MS. LAURA LYNN KIRLIN (LICSW) as active.
How should patients interpret MS. LAURA LYNN KIRLIN (LICSW)'s specialty?
The extract shows Clinical Social Worker for MS. LAURA LYNN KIRLIN (LICSW). Clinical services aligned with this taxonomy classification.
Which community is linked to MS. LAURA LYNN KIRLIN (LICSW)?
MS. LAURA LYNN KIRLIN (LICSW) shows a connection to Park Rapids, Minnesota in registry-derived data.
Who maintains MS. LAURA LYNN KIRLIN (LICSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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