Individual provider Active NPI

Danelle Breitenfeldt, LICSW

  • Clinical Social Worker
  • Alexandria, MN
National Provider Identifier
1245683283
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21519 Issued in MN
Practice address
324 Broadway St Ste 206
Alexandria, MN 56308-1482
Phone
(320) 762-1762
NPI assigned
Jul 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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 21519 MN Primary

Addresses

Primary practice location

324 Broadway St Ste 206
Alexandria, MN 56308-1482

Mailing address

324 Broadway St Ste 206
Alexandria, MN 56308-1482
Phone (218) 348-6657

Other names 1

  • Danelle Jones Former name

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
I20221004003047 MN Practitioner - Clinical Social Worker 4082090717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

324 Broadway St
Suite 206
Alexandria, MN 56308-1482
Phone (320) 762-1762

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21519MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Counseling Services, PLLC Clinical CurrentSince Aug 1, 2022 Accepting new patients
Sherie Carlson PHD LP PLLC Past Accepting new patients

Locations

324 Broadway St
Ste 206
Alexandria, MN 56308
Phone (218) 348-6657

324 Broadway St
Alexandria, MN 56308
Phone (320) 762-1762

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": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1245683283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 BROADWAY ST STE 206",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081482",
            "telephone_number": "218-348-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 BROADWAY ST STE 206",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081482",
            "telephone_number": "320-762-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITENFELDT",
        "first_name": "DANELLE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "21519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANELLE",
            "last_name": "JONES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alexandria, MN

Sources for this page

Verify at the official NPI Registry.