Celin R Williams, MSW, LICSW

Individual provider Active NPI Clinical Social Worker · Cook, MN

NPI 1477826436 · NPPES record last updated Mar 17, 2018

Key facts

NPI
1477826436
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
20577 (MN)
Practice address
20 5TH St SE
Cook, MN 55723-9702
Phone
(218) 666-5941
NPI assigned
Feb 21, 2012
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cook Area Health Services, Inc (27 clinicians)

Practice addresses (Care Compare)

135 Pine Tree Dr
Bigfork, MN 56628-0135
Phone (218) 743-3232

20 5TH St SE
Cook, MN 55723-9702
Phone (218) 666-5941

239 McKinley Ave
Eveleth, MN 55734-1606

415 N 2ND St
Suite 2
Tower, MN 55790-2103
Phone (218) 753-2405

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20151105001447 MN Practitioner - Clinical Social Worker 7517277445 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
20577MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Area Health Services, Inc Current
since Mar 1, 2018
Accepting new patients
Cook Area Health Services, Inc Current
since Mar 1, 2018
Accepting new patients
Cook Area Health Services, Inc Current Accepting new patients
Cook Area Health Services, Inc Current Accepting new patients
Cook Area Health Services, Inc Past Accepting new patients

Locations

135 Pine Tree Dr
Bigfork, MN 56628
Phone (218) 743-3232

20 5th St SE
Cook, MN 55723
Phone (218) 666-5941

239 McKinley Ave
Eveleth, MN 55734
Phone (218) 361-3300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20577 MN Yes
Social Worker 104100000X 20577 MN

Addresses

Primary practice location

20 5TH St SE
Cook, MN 55723-9702

Mailing address

20 5TH St SE
Cook, MN 55723-9702
Phone (218) 666-5941

Other practice location 1

135 Pine Tree Dr
Bigfork, MN 56628
Phone (218) 743-3232

Other names

  • Celin R Manlove Former name

Other providers in Cook, MN

All providers in Cook, MN · Clinical Social Worker in Minnesota

Sources for this page

Verify at the official NPI Registry.