Colleen Elaine Solberg
Individual provider Active NPI Clinical Social Worker · Owatonna, MN
NPI 1134428667 · NPPES record last updated Mar 23, 2011
Key facts
- NPI
- 1134428667
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 15595 (MN)
- Practice address
- 134 E Vine St Ste 202
Owatonna, MN 55060-2428 - Phone
- (507) 455-1302
- Fax
- (507) 455-1264
- NPI assigned
- Mar 23, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
610 Florence Ave
Owatonna, MN 55060-4704
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130201000038 | MN | Practitioner - Clinical Social Worker | 0547414302 |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15595 | MN | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15595 | MN | Yes |
Addresses
Primary practice location
134 E Vine St Ste 202
Owatonna, MN 55060-2428
Mailing address
610 Florence Ave
Owatonna, MN 55060-4704
Phone (507) 451-2630
Other providers in Owatonna, MN
- Dean Edward Smith
- Jodie Marie Smith
- Thomas M Smith
- Ann E Sneiders
- Leah Soland
- Michelle Sorensen
- South Central Human Relations Center
- South Central Human Relations Center
- South Central Human Relations Center
- South Central Human Relations Center
All providers in Owatonna, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.