Susan J Bollinger-Brown, MSSW, LICSW, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13061 Issued in MN

Practice address

1684 Selby Ave
Saint Paul, MN 55104-6149

Phone

(651) 206-8955

Fax

(651) 389-9397

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

University of Wisconsin School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Free Bird Counseling and Consultation LLC

  dba Free Bird Counseling and Consultation

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1194127456
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1265500755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 SELBY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046149",
            "telephone_number": "651-651-2068",
            "fax_number": "651-389-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1684 SELBY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046149",
            "telephone_number": "651-206-8955",
            "fax_number": "651-389-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLINGER-BROWN",
        "first_name": "SUSAN",
        "middle_name": "J",
        "credential": "MSSW, LICSW, LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "13061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265500755",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Peter Boksberger, D.O.
• Mark D Boldt, NP
• Sean P Boley, MD
• Nagasantosha Tejaswini Bollepalli, MD
• Anne Marie Boller, M.D.
• Corinne E Bolser, CRNA
• Jeffrey W. Bolser, RN
• Connie Lou Bingel Bombenger, LADC
• Bernard L Bomberg, D.D.S.
• Bond Psychotherapy, LLC

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, 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 Apr 4, 2025; 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.