Individual provider Active NPI

Courtney Popowski

  • Clinical Social Worker
  • Willmar, MN
National Provider Identifier
1215761291
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
85336 Issued in MN
Practice address
201 28TH Ave SW
Willmar, MN 56201-5241
Phone
(320) 214-8558
Fax
(320) 235-2733
NPI assigned
Aug 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 85336 MN Primary

Addresses

Primary practice location

201 28TH Ave SW
Willmar, MN 56201-5241

Mailing address

2120 60TH Ave NE
Willmar, MN 56201-9140
Phone (320) 905-4345

Other practice location 1

241 S Washington St
Redwood Falls, MN 56283-1655
Phone (507) 476-1922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
85336MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Counseling Centers, Inc. CurrentSince Mar 24, 2025 Accepting new patients
Nystrom & Associates, LTD Clinical CurrentSince Mar 24, 2025 Accepting new patients

Locations

201 28th Ave SW
Willmar, MN 56201
Phone (320) 214-8558

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1215761291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 60TH AVE NE",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562019140",
            "telephone_number": "320-905-4345",
            "fax_number": "507-218-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 28TH AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562015241",
            "telephone_number": "320-214-8558",
            "fax_number": "320-235-2733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Redwood Falls",
            "state": "MN",
            "postal_code": "562831655",
            "country_code": "US",
            "telephone_number": "507-476-1922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPOWSKI",
        "first_name": "COURTNEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "85336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.