Individual provider Active NPI

Lianna Elise Esquivel, LCSW

  • Clinical Social Worker
  • Fergus Falls, MN
National Provider Identifier
1083433593
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34173 Issued in MN
Practice address
980 S Tower Rd
Fergus Falls, MN 56537-5505
Phone
(218) 736-6987
NPI assigned
Oct 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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 107009 TX
Clinical Social Worker 1041C0700X 34173 MN Primary

Addresses

Primary practice location

980 S Tower Rd
Fergus Falls, MN 56537-5505

Mailing address

1413 Trail Boss
Killeen, TX 76549-5188
Phone (304) 281-2345

Other practice location 1

1413 Trail Boss
Killeen, TX 76549-5188
Phone (304) 281-2345

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
I20250110001408 MN Practitioner - Clinical Social Worker 2062940604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakeland Mental Health Center IncGroup PAC ID 1759291891, 39 clinicians

Practice addresses (Care Compare)

980 S Tower Rd
Fergus Falls, MN 56537-5505
Phone (218) 736-6987

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107009TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Mental Health Center, Inc. CurrentSince Jan 22, 2025 Accepting new patients

Locations

702 34th Ave E
Alexandria, MN 56308
Phone (320) 762-2400

980 S Tower Rd
Fergus Falls, MN 56537
Phone (218) 736-6987

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1083433593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 TRAIL BOSS",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765495188",
            "telephone_number": "304-281-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 S TOWER RD",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565375505",
            "telephone_number": "218-736-6987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1413 Trail Boss",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765495188",
            "country_code": "US",
            "telephone_number": "304-281-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESQUIVEL",
        "first_name": "LIANNA",
        "middle_name": "ELISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107009",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "34173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fergus Falls, MN

Sources for this page

Verify at the official NPI Registry.