Individual provider Active NPI

Courtney Renae Muszel, LICSW

  • Clinical Social Worker
  • Shakopee, MN
National Provider Identifier
1447004098
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20715 Issued in MN
Practice address
327 Marschall Rd Ste 250
Shakopee, MN 55379-2666
Phone
(651) 769-6500
Fax
(651) 769-6549
NPI assigned
Apr 11, 2024
Last updated
Apr 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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 20715 MN Primary

Addresses

Primary practice location

327 Marschall Rd Ste 250
Shakopee, MN 55379-2666

Mailing address

2497 7TH Ave E Ste 108
North St Paul, MN 55109-2949
Phone (651) 769-6437

Other names 1

  • Courtney Renae Doerge 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
I20240624003911 MN Practitioner - Clinical Social Worker 5395288963 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bhsi, LLC CurrentSince May 20, 2024 Accepting new patients

Locations

2497 7th Ave E
Saint Paul, MN 55109
Phone (651) 387-2165

2497 7th Ave E
Ste 101
Saint Paul, MN 55109
Phone (651) 769-6400

2497 7th Ave E
Ste 108
Saint Paul, MN 55109
Phone (651) 769-6437

327 Marschall Rd
Ste 250
Shakopee, MN 55379
Phone (651) 769-6500

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": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1447004098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2497 7TH AVE E STE 108",
            "city": "NORTH ST PAUL",
            "state": "MN",
            "postal_code": "551092949",
            "telephone_number": "651-769-6437",
            "fax_number": "651-769-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 MARSCHALL RD STE 250",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553792666",
            "telephone_number": "651-769-6500",
            "fax_number": "651-769-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSZEL",
        "first_name": "COURTNEY",
        "middle_name": "RENAE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "DOERGE",
            "middle_name": "RENAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shakopee, MN

Sources for this page

Verify at the official NPI Registry.