Patrick Lenertz, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21609 Issued in MN

Practice address

2903 15TH St S
Moorhead, MN 56560-5111

Phone

(218) 331-2001

NPI assigned

Mar 25, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 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

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ccri, IncGroup PAC ID 2769527605, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Ccri, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Moorhead, MN
  • NPI 1295870699
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1285384925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 15TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 15TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605111",
            "telephone_number": "218-331-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENERTZ",
        "first_name": "PATRICK",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "21609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://ccrimoorhead.org/",
            "affiliation": "N",
            "endpointDescription": "Agency Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2903 15th St S",
            "city": "Moorhead",
            "state": "MN",
            "country_code": "US",
            "postal_code": "565605111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brenna Lee
• Rodney John Lee, MD
• McKenzie Lehmann
• Annalise Elizabeth Lehrke
• Jessica L Lemer, LMFT
• Eric E Letvin
• Stacy Levang, CCC-SLP
• Melissa Ann Leverence, LICSW
• Lilac Homes Corporation
• Cressy Rose Liljenquist, ADC-T

• Clinical Social Worker in Moorhead, MN
• Providers in Moorhead, 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 May 9, 2022; 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.