Kurt David Holm, LICSW, LADC
NPI 1396158358ActiveIndividual· Social Worker, Clinical· Baxter, MN
Social Worker, Clinical (LICSW, LADC) with Nystrom and Associates Ltd, practicing in Baxter, Minnesota. Medicare paid $13,722 for services to 12 patients in 2024.
Overview
| NPI | 1396158358 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW, LADC |
| Sole proprietor | No |
| NPI issued | Jun 8, 2014 |
| Last updated in NPPES | Feb 12, 2021 |
| Certified by provider | Feb 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 27249 | MN |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 302032 | 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 | 12 |
|---|---|
| Services billed | 165 across 6 procedure codes |
| Paid by Medicare | $13,722 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Nystrom and Associates LtdBaxter, MN · 590 clinicians
Other Social Worker, Clinical providers in Baxter
- 1811234107
- 1407878127
- 1053547299
- 1407258387
- 1497112254
- 1225600729
- 1689297848
- 1548771975
- 1013401546
- 1093429813
- 1669732608
- 1497773386