Organization Active NPI

Shelley S. Berven and Associates, LLC

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1114225828
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06845 Issued in MN
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

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Shelley Sears Berven, MSW, LICSWNPI 1265539308
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20250501000407 MN Part B Supplier - Clinic/Group Practice 9234655366 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Paul, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.