Joanne Susan Kurzmann, MSW, LICSW
Individual provider Active NPI Clinical Social Worker · Centerville, MN
NPI 1316210255 · NPPES record last updated Sep 16, 2016
Key facts
- NPI
- 1316210255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 17448 (MN)
- Practice address
- 7039 20TH Ave
Centerville, MN 55038-9737 - Phone
- (651) 288-0332
- Fax
- (651) 288-0493
- NPI assigned
- Feb 22, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Minnesota Online Counseling LLC
Practice addresses (Care Compare)
1310 Hwy 96 E
Suite 104C
White Bear Lake, MN 55110-3618
Phone (651) 756-7590
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150406001815 | MN | Practitioner - Clinical Social Worker | 6002134962 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17448 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Counseling Center | Current |
Accepting new patients | |
| Minnesota Online Counseling LLC | Current |
Accepting new patients |
Locations
7260 University Ave NE
Ste 235
Minneapolis, MN 55432
Phone (763) 572-2605
1310 Highway 96 E
Ste 104C
White Bear Lake, MN 55110
Phone (651) 243-2747
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 17448 | MN | Yes |
Addresses
Primary practice location
7039 20TH Ave
Centerville, MN 55038-9737
Mailing address
7039 20TH Ave
Centerville, MN 55038-9737
Phone (651) 288-0332
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316210255 | Medicaid | MN | |
| H400203424 | Other | MN | MEDICARE PTAN |
Other names
- Jo Kurzmann
Other providers in Centerville, MN
- Katelin Elizabeth Johnson
- Brittany Dawn Kiel
- Gretchen Suzanne Kirvida
- Patricia Kniskern
- Jennifer A Krizan
- Jennifer Lynn Larkey I
- Kimberly Ann Lundholm-Eades
- Brianna Maher
- Shanasi Mason
- Lori Lee McDaniel
All providers in Centerville, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.