Individual provider Active NPI

Claudia A. Liljegren, MSW

  • Clinical Social Worker
  • Parkers Prairie, MN
National Provider Identifier
1427098458
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
945 Issued in MN
Practice address
St. Williams Mental Health Services
212 West Soo Street
Parkers Prairie, MN 56361-5636
Phone
(320) 766-6341
Fax
(218) 206-9385
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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 945 MN Primary

Addresses

Primary practice location

St. Williams Mental Health Services
212 West Soo Street
Parkers Prairie, MN 56361-5636

Mailing address

St. Williams Mental Health Services
212 West Soo Street
Parkers Prairie, MN 56361-4699
Phone (218) 338-5945

Other practice location 1

700 Cedar Street Suite 264
Parkers Prairie, MN 56361-5636
Phone (320) 766-6341

Other identifiers 6

IdentifierTypeStateIssuer
298S1LIOtherMNBLUE SHIELD OF MN
HP27093OtherFMHEALTHPARTNERS
126408OtherMNUCARE MINNESOTA
1012380OtherMNPREFERREDONE
281757800MedicaidMN
62-71307OtherMNUNITED BEHAVIORAL HEALTH

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
I20101013000487 MN Practitioner - Clinical Social Worker 4981896644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
945MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St. William'S Living Center CurrentSince Apr 28, 2024 Accepting new patients

Locations

212 W Soo St
Parkers Prairie, MN 56361
Phone (218) 338-1014

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1427098458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ST. WILLIAMS MENTAL HEALTH SERVICES",
            "address_2": "212 WEST SOO STREET",
            "city": "PARKERS PRAIRIE",
            "state": "MN",
            "postal_code": "563614699",
            "telephone_number": "218-338-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. WILLIAMS MENTAL HEALTH SERVICES",
            "address_2": "212 WEST SOO STREET",
            "city": "PARKERS PRAIRIE",
            "state": "MN",
            "postal_code": "563615636",
            "telephone_number": "320-766-6341",
            "fax_number": "218-206-9385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Cedar Street Suite 264",
            "address_purpose": "LOCATION",
            "city": "Parkers Prairie",
            "state": "MN",
            "postal_code": "563615636",
            "country_code": "US",
            "telephone_number": "320-766-6341",
            "fax_number": "218-206-9385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LILJEGREN",
        "first_name": "CLAUDIA",
        "middle_name": "A.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MN",
            "identifier": "298S1LI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP27093",
            "state": "FM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MINNESOTA",
            "identifier": "126408",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDONE",
            "identifier": "1012380",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281757800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "62-71307",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkers Prairie, MN

Sources for this page

Verify at the official NPI Registry.