NPIMap

Organization Active NPI

Covered Bridge Family Resources LLC

  • Clinical Social Worker
  • Zumbrota, MN
National Provider Identifier
1245258722
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COVERED BRIDGE FAMILY RESOURCES LLC
Practice address
77 West 5TH Street
Zumbrota, MN 55992
Phone
(507) 732-4136
Fax
(888) 527-4602
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Ms. Andrea Kristin Smothers, MSW LICSWNPI 1700813623
Title
Owner
Phone
(507) 732-4136

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

77 West 5TH Street
Zumbrota, MN 55992

Mailing address

PO Box 134
Zumbrota, MN 55992
Phone (507) 732-4136

Other identifiers 4

IdentifierTypeStateIssuer
94362OtherHEALTH PTNRS
560040500OtherMHCPR
131914OtherU CARE
694S3COOtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040826000264 MN Part B Supplier - Clinic/Group Practice 9133194921 Receives reassigned benefits from 1 practitioner
Practice locations: Zumbrota, MN

National Provider Directory

National Provider Directory

Locations

77 W 5th St
Zumbrota, MN 55992
Phone (507) 732-4136

Practitioners & affiliated clinicians

Practitioners 5

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": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1245258722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 134",
            "city": "ZUMBROTA",
            "state": "MN",
            "postal_code": "55992",
            "telephone_number": "507-732-4136",
            "fax_number": "888-527-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WEST 5TH STREET",
            "city": "ZUMBROTA",
            "state": "MN",
            "postal_code": "55992",
            "telephone_number": "507-732-4136",
            "fax_number": "888-527-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVERED BRIDGE FAMILY RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "SMOTHERS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-732-4136",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW LICSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PTNRS",
            "identifier": "94362",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHCPR",
            "identifier": "560040500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U CARE",
            "identifier": "131914",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "694S3CO",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zumbrota, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.