Individual provider Active NPI

Dina Renee Clabaugh, LICSW

  • Clinical Social Worker
  • Duluth, MN
National Provider Identifier
1306304811
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25945 Issued in MN
Practice address
306 W Superior St Ste 1000
Duluth, MN 55802-1818
Phone
(218) 428-1175
Fax
(218) 216-1452
NPI assigned
Mar 5, 2019
Last updated
Mar 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 25945 MN Primary

Addresses

Primary practice location

306 W Superior St Ste 1000
Duluth, MN 55802-1818

Mailing address

306 W Superior St Ste 1000
Duluth, MN 55802-1818
Phone (218) 428-1175

Other practice location 1

Raiter Clinic
417 Skyline Blvd
Cloquet, MN 55720-5572
Phone (218) 481-7660

Other practice location 2

302 E Howard St. Ste. 114
417 Skyline Blvd
Hibbing, MN 55746-5574
Phone (218) 481-7660

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
I20190412000488 MN Practitioner - Clinical Social Worker 7214294818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Insight Counseling Duluth LLCGroup PAC ID 4486911187, 13 clinicians

Practice addresses (Care Compare)

225 1St St N
Suite 3100B
Virginia, MN 55792-2457
Phone (218) 481-7660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Counseling Duluth, LLC Clinical CurrentSince Jun 1, 2017 Accepting new patients

Locations

417 Skyline Blvd
Cloquet, MN 55720
Phone (218) 879-1271

306 W Superior St
Ste 1000
Duluth, MN 55802
Phone (218) 428-1175

225 1st St N
Ste 3100B
Virginia, MN 55792
Phone (218) 481-7660

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1306304811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W SUPERIOR ST STE 1000",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021818",
            "telephone_number": "218-428-1175",
            "fax_number": "218-216-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W SUPERIOR ST STE 1000",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021818",
            "telephone_number": "218-428-1175",
            "fax_number": "218-216-1452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Raiter Clinic",
            "address_2": "417 Skyline Blvd",
            "address_purpose": "LOCATION",
            "city": "Cloquet",
            "state": "MN",
            "postal_code": "557205572",
            "country_code": "US",
            "telephone_number": "218-481-7660",
            "fax_number": "218-216-1452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 E Howard St. Ste. 114",
            "address_2": "417 Skyline Blvd",
            "address_purpose": "LOCATION",
            "city": "Hibbing",
            "state": "MN",
            "postal_code": "557465574",
            "country_code": "US",
            "telephone_number": "218-481-7660",
            "fax_number": "218-216-1452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLABAUGH",
        "first_name": "DINA",
        "middle_name": "RENEE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "25945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.