Emily Lundgren, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

78735 Issued in MN

Practice address

11 E Superior St Ste 415
Duluth, MN 55802-3008

Phone

(218) 249-0595

NPI assigned

Jul 20, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Duluth Counseling Center

  • Community/Behavioral Health Agency
  • Duluth, MN
  • NPI 1679815823
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1003596388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E SUPERIOR ST STE 415",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558023008",
            "telephone_number": "218-249-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E SUPERIOR ST STE 415",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558023008",
            "telephone_number": "218-249-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDGREN",
        "first_name": "EMILY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "78735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William R Lundberg, M.D.
• Kimberly Lunde, MA, LMFT
• Brenda K. Lundeen, APRN, CNP
• Rachel Joy Lundeen, APRN, CNP
• Sarah J Lundeen, MD
• Joan M Lundgren, RN, BSN
• Anne Louise Lundsten
• Zachary Tyler Lundstrom, MD
• Karen Ann Lushine
• Kristin Jo Lusian Saline, D.O.

• Clinical Social Worker in Duluth, MN
• Providers in Duluth, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.