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

Individual provider Clinical Social Worker · NPI 1982162228

Mr. Michael Jeffery Kieke, LICSW is a Clinical Social Worker in Hutchinson, Minnesota. Qualified in 2015, 11 years ago. Practices with Andrew J Larson Counseling Services, a 3-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2019
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

155 Shady Ridge Rd NW
Hutchinson, MN 55350-1460
Phone: (320) 234-3451
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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 19015 (MN)

Record details

NPI number1982162228
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMarch 6, 2019
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Andrew J Larson Counseling Services — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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