Sally Renee Vanerstrom, L.I.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16268 Issued in MN

Practice address

1919 University Ave W Ste 100
Saint Paul, MN 55104-3479

Phone

(651) 266-7900

Fax

(651) 266-7855

NPI assigned

Feb 2, 2007

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

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

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Poplar Grove Counseling, PLLPGroup PAC ID 8426353145, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: sally.vanerstrom.p3@direct.ramseysocialservices.nextgenshare.com

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.

• Poplar Grove Counseling, PLLP

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1083085989
  Medicare reassignment Care Compare group NPD
• Ramsey County Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Paul, MN
  • NPI 1235299124
  Medicare reassignment NPD
• Ramsey County Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Paul, MN
  • NPI 1376228684
  NPD

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114065810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 UNIVERSITY AVE W STE 100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043479",
            "telephone_number": "651-266-7900",
            "fax_number": "651-266-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 UNIVERSITY AVE W STE 100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043479",
            "telephone_number": "651-266-7900",
            "fax_number": "651-266-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANERSTROM",
        "first_name": "SALLY",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "L.I.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine A Vanderbilt, CNM
• Travis Vanderbilt, MA, LADC, LPCC
• Emily M Vanderbrink, RD
• Jane Willse Vanelli
• Keagan Vaneperen-Sattler, MA, ATR-P
• Vang Chiropractic
• Vang Dental Clinic, Inc
• Alyssa K Vang, PSYD LP
• Amelia Vang
• Aroone Vang

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, 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 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.