Alicia Leah Oeltjen, MSW LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14594 Issued in MN

Practice address

500 John St
Minnewaska Area Schools Day Treatment Program
Starbuck, MN 56381

Phone

(320) 239-2257

Fax

(320) 239-1420

NPI assigned

Dec 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alicia Leah Kleven Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Minnewaska Area Schools #2149

  • Adolescent and Children Mental Health Clinic/Center
  • Starbuck, MN
  • NPI 1306913017
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265591291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "address_2": "500 JOHN ST",
            "city": "STARBUCK",
            "state": "MN",
            "postal_code": "56381",
            "telephone_number": "320-239-2257",
            "fax_number": "320-239-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 JOHN ST",
            "address_2": "MINNEWASKA AREA SCHOOLS DAY TREATMENT PROGRAM",
            "city": "STARBUCK",
            "state": "MN",
            "postal_code": "56381",
            "telephone_number": "320-239-2257",
            "fax_number": "320-239-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OELTJEN",
        "first_name": "ALICIA",
        "middle_name": "LEAH",
        "name_prefix": "Mrs.",
        "credential": "MSW LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "14594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "598K4KL",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "KLEVEN",
            "middle_name": "LEAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael D Johnson, DC
• Lindsay Majerus, M.S. LPCC
• Minnewaska Area Schools #2149
• Minnewaska Home Care Inc (Minnewaska Community Health Services)
• Rhonda B Nietfeld-Sundermann, MSW, LICSW
• Gregory Paul Rapp, PA-C
• Brittany Roers, LPCC
• Donald Allan Samuelson, RPH
• John Theodore Samuelson, PHARMACIST
• Nancy V Samuelson

• Clinical Social Worker in Starbuck, MN
• Providers in Starbuck, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.