Individual provider Active NPI

Nicole M Arndt-Wenger, LICSW

  • Social Worker
  • Arden Hills, MN
National Provider Identifier
1366049975
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
26079 Issued in MN
Practice address
3900 Northwoods Dr
Arden Hills, MN 55112-6966
Phone
(651) 787-9600
NPI assigned
Oct 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 26079 MN
Social Worker 104100000X 26079 MN Primary

Addresses

Primary practice location

3900 Northwoods Dr
Arden Hills, MN 55112-6966

Mailing address

1540 Lake St S
Forest Lake, MN 55025-2628
Phone (651) 241-1517

Other practice location 1

8550 Hudson Blvd N
Lake Elmo, MN 55042-5500
Phone (651) 787-9600

Other practice location 2

1540 Lake St S
Forest Lake, MN 55025-2628
Phone (651) 464-7100

Other names 1

  • Nicole Arndt Former name

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
I20201111000736 MN Practitioner - Clinical Social Worker 3476963075 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Group Health IncGroup PAC ID 1759293954, 1,627 clinicians

Practice addresses (Care Compare)

8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26079MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health, Inc. CurrentSince Oct 17, 2023 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Group Health, Inc. CurrentSince Oct 17, 2023 Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

8550 Hudson Blvd N
Lake Elmo, MN 55042
Phone (651) 254-8580

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

Organizations & group practices 5

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": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1366049975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 LAKE ST S",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252628",
            "telephone_number": "651-241-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NORTHWOODS DR",
            "city": "ARDEN HILLS",
            "state": "MN",
            "postal_code": "551126966",
            "telephone_number": "651-787-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8550 Hudson Blvd N",
            "address_purpose": "LOCATION",
            "city": "Lake Elmo",
            "state": "MN",
            "postal_code": "550425500",
            "country_code": "US",
            "telephone_number": "651-787-9600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1540 Lake St S",
            "address_purpose": "LOCATION",
            "city": "Forest Lake",
            "state": "MN",
            "postal_code": "550252628",
            "country_code": "US",
            "telephone_number": "651-464-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARNDT-WENGER",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "26079",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "26079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "ARNDT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arden Hills, MN

Sources for this page

Verify at the official NPI Registry.