Active NPI
Sheri Lyn Pearson, MSW, LGSW, LICSW
- Clinical Social Worker
- Rochester, MN
National Provider Identifier
1447533740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 23241
- Practice address
- 343 Woodlake Dr SE
Rochester, MN 55904-6242 - Phone
- (507) 289-2089
- Fax
- (507) 535-5799
- NPI assigned
- Sep 22, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 23241 | MN | Primary |
Addresses
Primary practice location
343 Woodlake Dr SE
Rochester, MN 55904-6242
Mailing address
343 Woodlake Drive SE
Rochester, MN 55904
Phone (507) 289-2089
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171013001402 | MN | Practitioner - Clinical Social Worker | 4688949811 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of South Florida College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
343 Wood Lake Dr SE
Rochester, MN 55904-6242
Phone (507) 289-2089
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zumbro Valley Health Center | Current | Accepting new patients |
Locations
343 Woodlake Dr SE
Rochester, MN 55904
Phone (507) 289-2089
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": "1316649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1447533740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 WOODLAKE DRIVE SE",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "55904",
"telephone_number": "507-289-2089",
"fax_number": "507-535-5799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 WOODLAKE DR SE",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559046242",
"telephone_number": "507-289-2089",
"fax_number": "507-535-5799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "SHERI",
"middle_name": "LYN",
"name_prefix": "Ms.",
"credential": "MSW, LGSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "23241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.