Active NPI
Shelley S. Berven and Associates, LLC
- Clinical Social Worker
- Saint Paul, MN
National Provider Identifier
1114225828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 06845
- Legal business name
- SHELLEY S. BERVEN AND ASSOCIATES, LLC
- Practice address
- 595 Selby Ave
Saint Paul, MN 55102-1730 - Phone
- (651) 293-3923
- Fax
- (612) 465-4017
- NPI assigned
- Mar 3, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shelley Sears Berven, MSW, LICSW
- Title
- Owner
- Phone
- (651) 293-3923
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 06845 | MN | Primary |
Addresses
Primary practice location
595 Selby Ave
Saint Paul, MN 55102-1730
Mailing address
774 Delaware Ave
Saint Paul, MN 55107-2538
Phone (612) 269-9761
Other practice location 1
774 Delaware Ave
Saint Paul, MN 55107-2538
Phone (612) 269-9761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Saint Paul, MN
- NPI 1265539308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748995200000",
"number": "1114225828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "774 DELAWARE AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551072538",
"telephone_number": "612-269-9761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 SELBY AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551021730",
"telephone_number": "651-293-3923",
"fax_number": "612-465-4017"
}
],
"practiceLocations": [
{
"address_1": "774 Delaware Ave",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551072538",
"country_code": "US",
"telephone_number": "612-269-9761",
"fax_number": "612-465-4017",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SHELLEY S. BERVEN AND ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-03",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A",
"authorized_official_last_name": "BERVEN",
"authorized_official_first_name": "SHELLEY",
"authorized_official_middle_name": "SEARS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "651-293-3923",
"authorized_official_credential": "MSW, LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "06845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.