Bailey M Homstad, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23327 Issued in MN

Practice address

1406 E 2ND St
Duluth, MN 55805-2378

Phone

(218) 624-5683

Fax

(218) 624-5736

NPI assigned

Oct 5, 2018

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 names 1

• Bailey M Moehrke Other name

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Birch and Pine Counseling PLLPGroup PAC ID 9436525482, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/humandevelopmentcenter/r4/

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.

• Birch & Pine Counseling PLLP

  • Clinical Social Worker
  • Cloquet, MN
  • NPI 1649915281
  Medicare reassignment Care Compare group NPD
• Brightwater Health Dba Human Development Center

  • Community/Behavioral Health Agency
  • Cloquet, MN
  • NPI 1114048527
  NPD (past)
• Brightwater Health Dba Human Development Center

  • Community/Behavioral Health Agency
  • Grand Marais, MN
  • NPI 1205957610
  NPD (past)

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1144795162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 EAST 1ST STREET",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052407",
            "telephone_number": "218-728-4491",
            "fax_number": "218-730-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 E 2ND ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052378",
            "telephone_number": "218-624-5683",
            "fax_number": "218-624-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMSTAD",
        "first_name": "BAILEY",
        "middle_name": "M",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "23327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BAILEY",
            "last_name": "MOEHRKE",
            "middle_name": "M",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily Holter, DPT
• Madison Holty
• Home Care Oxygen Service Inc
• Home Dialysis Duluth Kidney Services
• Mary Homola
• Chip Daniel Honer
• Mikayla Catherine Hong, MD
• Kelsie Rae Hopkins, LSW
• Susan Britton Hoppe, ED.D., ATC
• Ramonica Lee Horak, MSED, LPCC

• Clinical Social Worker in Duluth, MN
• Providers in Duluth, 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 5, 2018; 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.