Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shannon Carol Kempf, LICSW

Individual provider Clinical Social Worker · NPI 1598072894

Shannon Carol Kempf, LICSW is a Clinical Social Worker in Wadena, Minnesota. Qualified in 2007, 19 years ago. Practices with Birch Lake Counseling LLC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
19
Licensed in
MN
In the registry since
2010
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

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Practice location Address checks out

503 Jefferson St S
Wadena, MN 56482-1843 Not confirmed with CMS for 11 years — call before visiting
Phone: (218) 675-5101
Fax: (801) 340-9860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 18686 (MN)

Record details

NPI number1598072894
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 8, 2010
Last updated in NPPESSeptember 8, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Birch Lake Counseling Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients18
Services billed 146 a service is one billed item, such as a visit, a test or a procedure
Average patient age63

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Birch Lake Counseling LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Wadena