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

Paul Jonathan Dirkse

Individual provider Clinical Social Worker · NPI 1205395613

Paul Jonathan Dirkse is a Clinical Social Worker in Stillwater, Minnesota. Qualified in 2014, 12 years ago. Practices with Allina Health System, a 3,867-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2019
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Practice location Address checks out

14949 62nd St N
Stillwater, MN 55082-6132
Phone: (651) 275-7400
Fax: (651) 275-7401
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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 23459 (MN)

Record details

NPI number1205395613
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 15, 2019
Last updated in NPPESMarch 15, 2019
Mailing address14949 62nd St N, Stillwater, MN 55082-6132

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Stillwater