Shodo Janet Cedar Spring, M.S.W., LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2931 Issued in MN

Practice address

401 Division St S
Ste C
Northfield, MN 55057-2096

Phone

(507) 412-1507

Fax

(612) 486-8800

NPI assigned

Nov 24, 2008

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

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.

• Centered Practice

  • Community/Behavioral Health Agency
  • Northfield, MN
  • NPI 1235428665
  Medicare reassignment NPD

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1114172715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 DIVISION ST S",
            "address_2": "STE C",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572096",
            "telephone_number": "507-649-7294",
            "fax_number": "651-323-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DIVISION ST S",
            "address_2": "STE C",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572096",
            "telephone_number": "507-412-1507",
            "fax_number": "612-486-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 1/2 Division St S",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "MN",
            "postal_code": "550572051",
            "country_code": "US",
            "telephone_number": "507-412-1507",
            "fax_number": "507-486-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRING",
        "first_name": "SHODO",
        "middle_name": "JANET CEDAR",
        "name_prefix": "Ms.",
        "credential": "M.S.W., LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "2931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MINNESOTA - LICSW LICENSE NUMBER",
            "identifier": "2931",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Elizabeth Sonnee, M.S., CCC-SLP
• Southern Minnesota Midwifery Inc
• Sparrow Psychiatry LLC
• Speechgear, Inc.
• Julie C Spencer, APRN MN PMHNP-BC
• Stacey Klempnauer MSW, Licsw Inc
• Joan Marie Stage, OTR/L
• Trent Ronald Steenblock, DPM
• Abigail Michaela Stein, PT, DPT
• Mary Anne Stevens, MSW, LADC, LICSW

• Clinical Social Worker in Northfield, MN
• Providers in Northfield, 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 Oct 9, 2019; 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.