MR. MICHAEL JEFFERY KIEKE (LICSW) – Clinical Social Worker, NPI 1982162228

MR. MICHAEL JEFFERY KIEKE (LICSW) is a healthcare provider. based in Cokato, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 19015 (MN). The NPI Number for MR. MICHAEL JEFFERY KIEKE (LICSW) is 1982162228

Main info

Male
11 Years Of Experience
Name
MR. MICHAEL JEFFERY KIEKE (LICSW)
NPI
1982162228
Phone
(320) 286-2922
Address
13637 60TH STREET SOUTHWEST
Enumeration Date
6 March 2019
Last Update Date
12 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
7416461769
Professional Enrollment ID
I20250709000639
Address ID
MN553502132HU1417XSWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

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Provider Addresses for MR. MICHAEL JEFFERY KIEKE (LICSW)

  • 13637, 60th Street Southwest, Cokato, Wright County, Minnesota, 55321, United States

    COKATO, MN 55321

    Phone: (320) 286-2922

    Fax: (320) 286-2875

    Type: Mailing

  • 155 SHADY RIDGE RD NW

    HUTCHINSON, MN 553501460

    Phone: (320) 234-3451

    Fax: (320) 587-0993

    Type: Mailing

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: 2025-07-09

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
I20250709000639IClinical 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 55321)

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Reviews

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Frequently asked questions

How do I look up MR. MICHAEL JEFFERY KIEKE (LICSW) by NPI?
Use NPI 1982162228 when you need to reference MR. MICHAEL JEFFERY KIEKE (LICSW) in forms, claims, or directories.
Does this profile mean MR. MICHAEL JEFFERY KIEKE (LICSW) is currently active?
Yes — MR. MICHAEL JEFFERY KIEKE (LICSW) appears active in the national provider directory.
Does MR. MICHAEL JEFFERY KIEKE (LICSW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for MR. MICHAEL JEFFERY KIEKE (LICSW). Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. MICHAEL JEFFERY KIEKE (LICSW)?
The page summarizes Cokato, Minnesota for MR. MICHAEL JEFFERY KIEKE (LICSW); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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