Individual provider Active NPI

Warren B. Fritze III, MSW, LICSW, LADC,CGC

  • Clinical Social Worker
  • Blaine, MN
National Provider Identifier
1295078715
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20488 Issued in MN
Practice address
9298 Central Ave NE Ste 306
Blaine, MN 55434-4219
Phone
(651) 955-4633
Fax
(651) 440-9827
NPI assigned
Apr 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 302147 MN
Clinical Social Worker 1041C0700X 20488 MN Primary

Addresses

Primary practice location

9298 Central Ave NE Ste 306
Blaine, MN 55434-4219

Mailing address

245 Ruth St N Ste 101
Saint Paul, MN 55119-4409
Phone (651) 955-4633

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
I20130607000474 MN Practitioner - Clinical Social Worker 3577701226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Omni Mental Health IncGroup PAC ID 1557804390, 16 clinicians
Conscious Healing Counseling IncGroup PAC ID 4688095268, 16 clinicians

Practice addresses (Care Compare)

245 Ruth St N
Suite 101
Saint Paul, MN 55119-4409
Phone (651) 955-4633

3200 Main St NW
Suite 255
Coon Rapids, MN 55448-1197
Phone (612) 900-0233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
302147MNMDAddiction (Substance Use Disorder) Counselor
20488MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Conscious Healing Counseling Inc CurrentSince Feb 19, 2026 Accepting new patients
Omni Mental Health Inc Addiction (Substance Use Disorder) CurrentSince Mar 3, 2025 Accepting new patients
West Central Counseling LLC Clinical PastSince Jun 6, 2021 Accepting new patients
Nystrom & Associates, LTD Clinical PastSince Apr 13, 2026 Accepting new patients

Locations

9298 Central Ave NE
Ste 304
Blaine, MN 55434
Phone (651) 955-4633

3200 Main St NW
Ste 255
Coon Rapids, MN 55448
Phone (612) 900-0233

9298 Central Ave NE
Ste 310
Minneapolis, MN 55434
Phone (651) 955-4633

245 Ruth St N
Ste 101
Saint Paul, MN 55119
Phone (651) 955-4633

Organizations & group practices 4

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": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1295078715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 RUTH ST N STE 101",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194409",
            "telephone_number": "651-955-4633",
            "fax_number": "651-440-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9298 CENTRAL AVE NE STE 306",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554344219",
            "telephone_number": "651-955-4633",
            "fax_number": "651-440-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZE",
        "first_name": "WARREN",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MSW, LICSW, LADC,CGC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302147",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

Verify at the official NPI Registry.