Corrine Patricia Pruitt, LICSW
NPI 1861136103ActiveIndividual· Social Worker, Clinical· Minnetonka, MN
Social Worker, Clinical (LICSW) with Nystrom and Associates Ltd, practicing in Minnetonka, Minnesota. Medicare paid $15,434 for services to 19 patients in 2024.
Overview
| NPI | 1861136103 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | Yes |
| NPI issued | Apr 22, 2022 |
| Last updated in NPPES | May 25, 2022 |
| Certified by provider | May 9, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 27009 | 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 | 19 |
|---|---|
| Services billed | 220 across 4 procedure codes |
| Paid by Medicare | $15,434 |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Nystrom and Associates LtdBaxter, MN · 590 clinicians
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