Kimberly Ann Locke, L.I.C.S.W.
NPI 1225304405ActiveIndividual· Social Worker, Clinical· Bloomington, MN
Social Worker, Clinical (L.I.C.S.W.) with Park Nicollet Clinic, practicing in Bloomington, Minnesota. Medicare paid $10,451 for services to 30 patients in 2024.
Overview
| NPI | 1225304405 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | L.I.C.S.W. |
| Sole proprietor | Yes |
| NPI issued | Apr 1, 2012 |
| Last updated in NPPES | Aug 14, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 16497 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 30 |
|---|---|
| Services billed | 184 across 4 procedure codes |
| Paid by Medicare | $10,451 |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
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