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

Kelli Passalacqua, LICSW

Individual provider Clinical Social Worker · NPI 1780044354

Kelli Passalacqua, LICSW is a Clinical Social Worker in Rochester, Minnesota. Qualified in 1997, 29 years ago. Practices with Mayo Clinic, a 4,796-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
29
Licensed in
MN
In the registry since
2016
Specialties on file
2
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 →

Practice location Address checks out

200 1st St SW
Rochester, MN 55905
Phone: (507) 284-2511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 13497 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 1397 (MN)

Record details

NPI number1780044354
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 25, 2016
Last updated in NPPESAugust 27, 2020
Certification dateAugust 27, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Mayo Clinic — 4796 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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