Individual provider Active NPI

Julie Marie Christensen, LICSW

  • Clinical Social Worker
  • Baxter, MN
National Provider Identifier
1407258387
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21487 Issued in MN
Practice address
13045 Falcon Dr Ste 100
Baxter, MN 56425-4201
Phone
(218) 829-9307
Fax
(218) 829-7649
NPI assigned
Sep 22, 2014
Last updated
Jun 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 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 21487 MN Primary

Addresses

Primary practice location

13045 Falcon Dr Ste 100
Baxter, MN 56425-4201

Mailing address

815 N 9TH St
Brainerd, MN 56401-2632
Phone (218) 838-4931

Other practice location 1

7111 Forthun Rd
Baxter, MN 56425-8595
Phone (218) 454-0090

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
I20150310000027 MN Practitioner - Clinical Social Worker 5395061311 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Medical Center CurrentSince Sep 9, 2019 Accepting new patients
Family Support Services Inc. CurrentSince Jun 3, 2019 Accepting new patients
St Joseph's Medical Center CurrentSince Sep 9, 2019 Accepting new patients
David C. Anderholm, MD, PA CurrentSince Jan 1, 2015 Accepting new patients
St. Joseph's Medical Center Current Accepting new patients
Nystrom & Associates, LTD Clinical PastSince Nov 1, 2012 Accepting new patients

Locations

7115 Forthun Rd
Ste 105
Baxter, MN 56425
Phone (218) 454-0090

207 Jefferson Blvd
Big Lake, MN 55309
Phone (763) 367-6080

13060 Isle Dr
Brainerd, MN 56425
Phone (218) 454-5920

13045 Falcon Dr
#100
Brainerd, MN 56425
Phone (218) 203-6282

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

817 Main St N
Cambridge, MN 55008
Phone (763) 325-0300

11660 Round Lake Blvd NW
Coon Rapids, MN 55433
Phone (763) 317-0718

13603 80th Cir N
Maple Grove, MN 55369
Phone (763) 274-3120

2405 8th St S
Ste 200
Moorhead, MN 56560
Phone (218) 331-4866

1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718

49725 County 83
Staples, MN 56479
Phone (218) 894-1033

Organizations & group practices 6

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": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1407258387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N 9TH ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564012632",
            "telephone_number": "218-838-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13045 FALCON DR STE 100",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564254201",
            "telephone_number": "218-829-9307",
            "fax_number": "218-829-7649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7111 Forthun Rd",
            "address_purpose": "LOCATION",
            "city": "Baxter",
            "state": "MN",
            "postal_code": "564258595",
            "country_code": "US",
            "telephone_number": "218-454-0090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "21487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxter, MN

Sources for this page

Verify at the official NPI Registry.