Individual provider Active NPI

Dionne Marie Blood, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1104869346
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16475 Issued in MN
Practice address
1595 Selby Ave Ste 203
Saint Paul, MN 55104-4528
Phone
(612) 655-7678
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16475 MN Primary

Addresses

Primary practice location

1595 Selby Ave Ste 203
Saint Paul, MN 55104-4528

Mailing address

1595 Selby Ave Ste 203
Saint Paul, MN 55104-4528
Phone (612) 655-7678

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
I20060705000145 MN Practitioner - Clinical Social Worker 9739191008 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16475MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Counseling Services, LLC Clinical CurrentSince Jul 15, 2010 Accepting new patients
Psych Recovery Inc Clinical PastSince May 15, 2009 Accepting new patients
Psychiatric Recovery PA Past Accepting new patients
Natalis Counseling and Psychology Solutions, P.a. PastSince Jun 27, 2020 Accepting new patients

Locations

1595 Selby Ave
Ste 203
Saint Paul, MN 55104
Phone (612) 655-7678

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1595 Selby Ave
Suite 203
Saint Paul, MN 55104-4528
Phone (612) 655-7678

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1104869346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 SELBY AVE STE 203",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044528",
            "telephone_number": "612-655-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 SELBY AVE STE 203",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044528",
            "telephone_number": "612-655-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOD",
        "first_name": "DIONNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.