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Amalya Lewin-Larin , LGSW

Social Worker β€’ Maple Grove, MN

Active NPI 1457013955 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

9555 Upland Ln N
Maple Grove, MN 553694485

Call 9529931440 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

9555 Upland Ln N

Maple Grove, MN 553694485

Telephone 9529931440
Organization at the Same NPPES Address or Phone
Park Nicollet Health Care Products Facility NPI 1821476920

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Saint Paul, MN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Park Nicollet Clinic. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2019

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Amalya Lewin-Larin has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Amalya Lewin-Larin as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Maple Grove and Minnesota

12 active clinicians are listed under Social Worker with a practice address in Maple Grove, MN (1,037 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Maple Grove

8.3% of these 12 clinicians have the CMS telehealth indicator.

25% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-05-31
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES MN 28421

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20220908001536

Enrollment State Jurisdiction

MN

PECOS Control ID

9638553761

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Park Nicollet Clinic

15800 95th Ave N, Maple Grove, MN 553694400

Phone: 9529931440

Park Nicollet Clinic

5320 Hyland Greens Dr, Bloomington, MN 554373934

Phone: 9529932400

Secondary Practice Locations

771 Raymond Ave

Saint Paul, MN 551141522

Phone: 6518902937

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Bjorn Bakken , MD

Internal Medicine - Sports Medicine

NPI 1174939706

Doctor of Medicine (M.D.)

Tara Barrack , PA-C

Physician Assistant - Surgical

NPI 1104266865

Physician Assistant (Certified)

NPI 1932767399

Doctor of Medicine (M.D.)

Dr. James Capes , MD

Internal Medicine

NPI 1467476481

Doctor of Medicine (M.D.)

Dr. Brett Carlson , MD

Internal Medicine - Cardiovascular Disease

NPI 1992975791

Doctor of Medicine (M.D.)

NPI 1710964705

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location May 31, 2023

Registered at 9555 UPLAND LN N, MAPLE GROVE, MN 553694485 (Tel: 9529931440)

πŸ“
Updated Business Mailing Address May 31, 2023

Registered at 8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 554254516

🏒
Secondary Practice Location Registered May 31, 2023

Additional practice office at 771 Raymond Ave, Saint Paul, MN 551141522

βœ…
NPI Profile Active October 12, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 12, 2021

Registered at 771 RAYMOND AVE, SAINT PAUL, MN 551141522 (Tel: 6518902937)

πŸ“
Business Mailing Address (Initial Record) October 12, 2021

Registered at 771 RAYMOND AVE, SAINT PAUL, MN 551141522

πŸ‘€
Provider Name / Credentials (Initial Record) October 12, 2021

Recorded as AMALYA LEWIN-LARIN, LGSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2021

Social Worker (license number reported to NPPES: MN 28421)

🟒
Initial NPI Registration & Enumeration October 12, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1457013955
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2021
Last Update: May 31, 2023
Sole Proprietor: No

Mailing Address

8170 33rd Ave S # Ms 21110q

Bloomington, MN 554254516

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.