Individual provider Active NPI

Noreen Lea Cooney, LICSW

  • Clinical Social Worker
  • Northfield, MN
National Provider Identifier
1417181520
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09589 Issued in MN
Practice address
502 Fremont St E
Northfield, MN 55057-2810
Phone
(507) 645-8511
NPI assigned
May 5, 2009
Last updated
May 5, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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 09589 MN Primary

Addresses

Primary practice location

502 Fremont St E
Northfield, MN 55057-2810

Mailing address

502 Fremont St E
Northfield, MN 55057-2810
Phone (507) 645-8511

Other names 1

  • Noreen Lea Wefel 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
I20160125000984 MN Practitioner - Clinical Social Worker 2466755582 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09589MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Fairview Clinics CurrentSince Dec 8, 2019 Accepting new patients
Range Regional Health Services CurrentSince Sep 15, 2025 Accepting new patients
Range Regional Health Services Current Accepting new patients
Fairview Health Services CurrentSince Dec 8, 2019 Accepting new patients
Range Regional Health Services CurrentSince Sep 15, 2025 Accepting new patients

Locations

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

1405 Lilac Dr N
Ste 151
Minneapolis, MN 55422
Phone (763) 525-9919

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

Organizations & group practices 7

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": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1417181520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 FREMONT ST E",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572810",
            "telephone_number": "507-645-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 FREMONT ST E",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572810",
            "telephone_number": "507-645-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONEY",
        "first_name": "NOREEN",
        "middle_name": "LEA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "09589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOREEN",
            "last_name": "WEFEL",
            "middle_name": "LEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Northfield, MN

Sources for this page

Verify at the official NPI Registry.