Doctor profile · Federal record

Dr. Autumn Phenow, MSW, LICSW

Clinical Social Worker · Fridley, MN

  • NPI 1154980068
  • Accepts Medicare
  • MIPS 78.9 / 100 · 2023
  • 10 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
6341 University Ave Ne
Fridley, MN 554324946
(612) 672-6999
Additional location
3450 OLeary Ln
Eagan, MN 551232340
(651) 363-0114
Mailing address
2785 White Bear Ave N Ste 403
Maplewood, MN 551091327

Credentials & registration

NPPES · NUCC
NPI registered
June 2019 — 7 yrs on file
Profile last updated
August 22, 2019
Year of graduation
2016 — 10 yrs since
Specialty taxonomy
1041C0700X — NUCC code
State license (1)
Minnesota #22651

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1154980068. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
258
Distinct HCPCS
3
Medicare allowed
$17,713
HCPCS Description Services Patients Avg allowed
90834 Psychotherapy, 45 minutes 163 25 $70
90832 Psychotherapy, 30 minutes 66 14 $51
90837 Psychotherapy, 1 hour 29 13 $99

In context: peer comparison

Among 2 peers in this city , average services per provider: 65. This provider delivers 4.0× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Autumn Phenow's medical specialty?
Dr. Autumn Phenow practices Clinical Social Worker in Fridley, MN.
Where does Dr. Autumn Phenow practice?
Dr. Autumn Phenow practices at 6341 University Ave Ne, Fridley, MN 554324946. Office phone: 6126726999.
What is Dr. Autumn Phenow's NPI?
Dr. Autumn Phenow's National Provider Identifier (NPI) is 1154980068, issued by NPPES.
Does Dr. Autumn Phenow accept Medicare assignment?
Yes. Dr. Autumn Phenow accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Autumn Phenow commonly perform?
Top Medicare-reported procedures in 2023: Psychotherapy (HCPCS 90834); Psychotherapy (HCPCS 90832); Psychotherapy (HCPCS 90837). Source: CMS Medicare Physician & Other Practitioners file.