Individual provider Active NPI

Brian Lee Straub, LICSW

  • Clinical Social Worker
  • Rochester, MN
National Provider Identifier
1235282427
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
29799 Issued in MN
Practice address
401 16TH St SE
Rochester, MN 55904-7973
Phone
(507) 516-0030
Fax
(507) 516-0031
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-12335 AZ
Clinical Social Worker 1041C0700X 29799 MN Primary

Addresses

Primary practice location

401 16TH St SE
Rochester, MN 55904-7973

Mailing address

200 1St St SW
Rochester, MN 55905-0002
Phone (507) 284-2511

Other practice location 1

200 1st St SW
Rochester, MN 55905-0002
Phone (507) 284-2511

Other practice location 2

7517 S McClintock Dr
Suite 105
Tempe, AZ 85283-5011
Phone (480) 429-4120

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bstraub1664959@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210916002670 MN Practitioner - Clinical Social Worker 0749687812 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mayo ClinicGroup PAC ID 6507778255, 4,829 clinicians

Practice addresses (Care Compare)

200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-12335AZMDClinical Social Worker
29799MNMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic CurrentSince Jan 24, 2022 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region Current Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Apr 26, 2024 Accepting new patients
Mayo Clinic Health System-Fairmont CurrentSince Apr 26, 2024 Accepting new patients
Mayo Clinic CurrentSince Jan 24, 2022 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Apr 26, 2024 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Apr 26, 2024 Accepting new patients
Nystrom & Associates, LTD Clinical CurrentSince Aug 2, 2021 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Apr 26, 2024 Accepting new patients
Mayo Clinic Current Accepting new patients
Mayo Clinic Health System-St James CurrentSince Apr 26, 2024 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Mayo Clinic Health System-St James Current Accepting new patients
Mayo Clinic Health System-Lake City CurrentSince Apr 26, 2024 Accepting new patients
Mayo Clinic Health System-Lake City Current Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Family Support Services Inc. PastSince Aug 2, 2021 Accepting new patients

Locations

404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285

1000 1st Dr NW
Austin, MN 55912
Phone (507) 433-7351

32021 County 24 Blvd
Cannon Falls, MN 55009
Phone (507) 263-6000

800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100

500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321

1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623

301 2nd St NE
New Prague, MN 56071
Phone (952) 758-4431

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

401 16th St SE
Ste 100
Rochester, MN 55904
Phone (507) 516-0030

1101 Moulton and Parsons Dr
Saint James, MN 56081
Phone (507) 375-3261

1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718

501 State St N
Waseca, MN 56093
Phone (507) 835-1210

Interoperability endpoints

  • Direct secure messaging: bstraub1664959@ehrdirect.mayoclinicmsg.org

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1235282427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050002",
            "telephone_number": "507-284-2511",
            "fax_number": "507-516-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 16TH ST SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559047973",
            "telephone_number": "507-516-0030",
            "fax_number": "507-516-0031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559050002",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "fax_number": "507-516-0031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7517 S McClintock Dr",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852835011",
            "country_code": "US",
            "telephone_number": "480-429-4120",
            "fax_number": "480-429-4126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRAUB",
        "first_name": "BRIAN",
        "middle_name": "LEE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-12335",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "29799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bstraub1664959@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "200 1st St SW",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559050002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.