Shelley Sears Berven, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

06845 Issued in MN

Practice address

790 Cleveland Ave S Ste 207
Saint Paul, MN 55116-3866

Phone

(651) 224-3035

Fax

(651) 690-0968

NPI assigned

Sep 20, 2006

Last updated

Jan 21, 2019By the provider in NPPES

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 2

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

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shelley S. Berven and Associates, LLC

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1114225828
  Medicare reassignment NPD Authorized official
• Psychiatric Recovery PA

  • Adolescent and Children Mental Health Clinic/Center
  • Saint Paul, MN
  • NPI 1891713681
  NPD (past)
• Suzanne L. Krueger & Associates PC

  • Clinical Psychologist
  • Burnsville, MN
  • NPI 1467519686
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1265539308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2273 GORDON AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081904",
            "telephone_number": "651-293-3923",
            "fax_number": "651-642-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 CLEVELAND AVE S STE 207",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551163866",
            "telephone_number": "651-224-3035",
            "fax_number": "651-690-0968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "91 Snelling Ave N",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551046753",
            "country_code": "US",
            "telephone_number": "612-269-9761",
            "fax_number": "651-642-5909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERVEN",
        "first_name": "SHELLEY",
        "middle_name": "SEARS",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "06845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "735820200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "172678",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inez Bersie-Mize, LMFT
• Jill Bertelsen
• Jennifer Ann Bertolatus, LPCC
• Cheryl Bertsch
• Mark Berven, LADC, LPC
• Jessica Bervik, PTA
• Katherine Besch, ED.S., LPCC
• Beseman Chiropractic PA
• Rodney Arthur Beseman II, DC
• Alicia Ann Beseres, PHARMD

• 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 Jan 21, 2019; 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.