Marybeth Kimball Gage Ehlert, MSW, LICSW
NPI 1851924245ActiveIndividual· Social Worker, Clinical· Minnetonka, MN
Social Worker, Clinical (MSW, LICSW) with Affinity Psychological Services PC and 1 other group, practicing in Minnetonka, Minnesota. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1851924245 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW, LICSW |
| Sole proprietor | No |
| NPI issued | Feb 13, 2020 |
| Last updated in NPPES | Aug 2, 2022 |
| Certified by provider | Aug 2, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 27432 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical groups
- Affinity Psychological Services PCSaint Cloud, MN · 69 clinicians
- Sonder Behavioral Health and Wellness IncMinnetonka, MN · 25 clinicians
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