Individual provider Active NPI

Janell Wesenberg, MSW, LICSW

  • Clinical Social Worker
  • Cold Spring, MN
National Provider Identifier
1376934570
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11474 Issued in MN
Practice address
15413 Century Estates Cir
Cold Spring, MN 56320-9739
Phone
(320) 249-3775
Fax
(320) 433-7231
NPI assigned
Feb 9, 2015
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

600 25TH Ave S
Suite 109
Saint Cloud, MN 56301-4820
Phone (320) 255-0343

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
I20150604001403 MN Practitioner - Clinical Social Worker 8022339878 Practice locations: Cold Spring, MN; Saint Cloud, MN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher J Wenner MD, PA PastSince Jun 1, 2009 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23532/brand/1/csg/1/fhir/r4

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11474 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

15413 Century Estates Cir
Cold Spring, MN 56320-9739

Mailing address

15413 Century Estates Cir
Cold Spring, MN 56320-9739
Phone (320) 249-3775

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 9, 2015.

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1376934570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15413 CENTURY ESTATES CIR",
            "city": "COLD SPRING",
            "state": "MN",
            "postal_code": "563209739",
            "telephone_number": "320-249-3775",
            "fax_number": "320-433-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15413 CENTURY ESTATES CIR",
            "city": "COLD SPRING",
            "state": "MN",
            "postal_code": "563209739",
            "telephone_number": "320-249-3775",
            "fax_number": "320-433-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESENBERG",
        "first_name": "JANELL",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "11474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cold Spring, MN

Sources for this page

Verify at the official NPI Registry.