Individual provider Active NPI

Sharon Odland

  • Clinical Social Worker
  • Alexandria, MN
National Provider Identifier
1013211820
Registry record updated Jan 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11037 Issued in MN
Practice address
507 22ND Ave E Ste 1
Alexandria, MN 56308-5186
Phone
(320) 762-5124
NPI assigned
Jan 8, 2011
Last updated
Jan 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11037 MN Primary
School Social Worker 1041S0200X 349653 MN

Addresses

Primary practice location

507 22ND Ave E Ste 1
Alexandria, MN 56308-5186

Mailing address

507 22ND Ave E Ste 1
Alexandria, MN 56308-5186
Phone (320) 762-5124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140506001970 MN Practitioner - Clinical Social Worker 5092948695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lutheran Social Service of MinnesotaGroup PAC ID 1951202019, 13 clinicians

Practice addresses (Care Compare)

507 22ND Ave E
Suite 1
Alexandria, MN 56308-5186
Phone (320) 762-5124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
349653MNMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Social Service of Minnesota CurrentSince Apr 1, 2014 Accepting new patients

Locations

507 22nd Ave E
Ste 1
Alexandria, MN 56308
Phone (320) 762-5124

716 E St NE
Brainerd, MN 56401
Phone (218) 828-7379

2485 Como Ave
Saint Paul, MN 55108
Phone (800) 582-5260

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1294444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294444800000",
    "number": "1013211820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 22ND AVE E STE 1",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563085186",
            "telephone_number": "320-762-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 22ND AVE E STE 1",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563085186",
            "telephone_number": "320-762-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODLAND",
        "first_name": "SHARON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-08",
        "last_updated": "2011-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "11037",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MN",
            "license": "349653",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

Verify at the official NPI Registry.