Keith B. Block, LICSW
NPI 1558751933ActiveIndividual· Social Worker, Clinical· Minnetonka, MN
Social Worker, Clinical (LICSW) with Avera McKennan, practicing in Minnetonka, Minnesota. Enrolled in Medicare as practitioner - clinical social worker and practitioner - clinical social worker. Lists Avera McKennan Hospital & University Health Center as a hospital affiliation.
Overview
| NPI | 1558751933 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | Jan 23, 2015 |
| Last updated in NPPES | Aug 25, 2026 |
| Certified by provider | Aug 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 26533 | MN |
| Social Worker, Clinical | 1041C0700X | 5251 | SD |
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); Practitioner - Clinical Social Worker (SD) |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Avera McKennanSioux Falls, SD · 959 clinicians
Hospital affiliation
- Avera McKennan Hospital & University Health CenterSioux Falls, SD
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