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

MS. Amy L. Kephart, LICSW

Individual provider Clinical Social Worker · NPI 1174845119

MS. Amy L. Kephart, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 2002, 24 years ago. Practices with Lyn-Lake Psychotherapy and Wellness Ltd, a 72-clinician group. Licensed in Minnesota.

Years since qualifying
24
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3033 Excelsior Blvd Ste 215
Minneapolis, MN 55416-5274
Phone: (347) 746-0522
Fax: (651) 925-0427
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 28099 (MN)

Record details

NPI number1174845119
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedFebruary 18, 2010
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Lyn-Lake Psychotherapy And Wellness Ltd — 72 clinicians
Accepts Medicare assignment Not indicated

Other providers in Minneapolis