Organization Active NPI

Megan Gerak MSW LLC

  • Adult Mental Health Clinic/Center
  • Grand Rapids, MN
National Provider Identifier
1396527552
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MEGAN GERAK MSW LLC
Practice address
10 NW 5TH St Ste 3
Grand Rapids, MN 55744-2758
Phone
(218) 250-8687
Fax
(218) 203-4782
NPI assigned
Oct 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Megan Amanda Gerak, LICSW
Title
Clinical Social Worker/Therapist
Phone
(218) 398-0988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

10 NW 5TH St Ste 3
Grand Rapids, MN 55744-2758

Mailing address

502 NE 4TH Ave
Grand Rapids, MN 55744-2820
Phone (218) 250-8687

Other practice location 1

522 E Howard St
Ste 85
Hibbing, MN 55746-1905
Phone (218) 250-8687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240223003994 MN Part B Supplier - Clinic/Group Practice 9133564693 Practice locations: Grand Rapids, MN; Hibbing, MN

National Provider Directory

National Provider Directory

Locations

10 NW 5th St
Ste 3
Grand Rapids, MN 55744
Phone (218) 250-8687

522 E Howard St
Ste 85
Hibbing, MN 55746
Phone (218) 250-8687

NPI Registry JSON

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1396527552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 NE 4TH AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442820",
            "telephone_number": "218-250-8687",
            "fax_number": "218-203-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 NW 5TH ST STE 3",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442758",
            "telephone_number": "218-250-8687",
            "fax_number": "218-203-4782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "522 E Howard St",
            "address_2": "Ste 85",
            "address_purpose": "LOCATION",
            "city": "Hibbing",
            "state": "MN",
            "postal_code": "557461905",
            "country_code": "US",
            "telephone_number": "218-250-8687",
            "fax_number": "218-203-4782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEGAN GERAK MSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-20",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "GERAK",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER/THERAPIST",
        "authorized_official_telephone_number": "218-398-0988",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.