Individual provider Active NPI

Rebecca Gerbig, LICSW

  • Clinical Social Worker
  • Rogers, MN
National Provider Identifier
1417313339
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14897 Issued in MN
Practice address
14000 Northdale Blvd Ste I
Rogers, MN 55374-4663
Phone
(763) 464-9256
Fax
(320) 774-0415
NPI assigned
Jan 7, 2016
Last updated
Aug 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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 14897 MN Primary

Addresses

Primary practice location

14000 Northdale Blvd Ste I
Rogers, MN 55374-4663

Mailing address

2837 Goldenrod Way
Orono, MN 55356-3800

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
I20160308002742 MN Practitioner - Clinical Social Worker 1153627781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanda Counseling and Psychological ServicesGroup PAC ID 6608192083, 20 clinicians

Practice addresses (Care Compare)

14000 Northdale Blvd
Suite I
Rogers, MN 55374-4663
Phone (763) 575-8086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14897MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vanda Counseling and Psychological Services CurrentSince Apr 1, 2017 Accepting new patients

Locations

4969 Olson Memorial Hwy
Minneapolis, MN 55422
Phone (763) 575-8086

14000 Northdale Blvd
Ste I
Rogers, MN 55374
Phone (763) 575-8086

14115 James Rd
Ste 305
Rogers, MN 55374
Phone (763) 575-8086

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, 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": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1417313339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2837 GOLDENROD WAY",
            "city": "ORONO",
            "state": "MN",
            "postal_code": "553563800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 NORTHDALE BLVD STE I",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744663",
            "telephone_number": "763-464-9256",
            "fax_number": "320-774-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBIG",
        "first_name": "REBECCA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "14897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, MN

Sources for this page

Verify at the official NPI Registry.