Individual provider Active NPI

Bobbi Louise Steidl, LSW

  • Clinical Social Worker
  • Alexandria, MN
National Provider Identifier
1477848117
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
45197 Issued in MN
Practice address
4133 Iowa St
Alexandria, MN 56308-3316
Phone
(320) 762-8851
NPI assigned
Jun 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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 45197 MN Primary

Addresses

Primary practice location

4133 Iowa St
Alexandria, MN 56308-3316

Mailing address

1201 25TH St S
PO Box 9859
Fargo, ND 58103-2311
Phone (701) 451-4900

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
I20170628002947 MN Practitioner - Clinical Social Worker 0143599597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Village Family Service CenterGroup PAC ID 7517857428, 27 clinicians

Practice addresses (Care Compare)

4133 Iowa St
Alexandria, MN 56308-3316
Phone (320) 762-8851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
45197MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Service Center CurrentSince May 20, 2017 Accepting new patients
Village Family Service Center Clinical CurrentSince May 20, 2017 Accepting new patients

Locations

4133 Iowa St
Ste 105
Alexandria, MN 56308
Phone (320) 253-5930

4133 Iowa St
Alexandria, MN 56308
Phone (320) 762-8851

1201 25th St SW
Fargo, ND 58103
Phone (701) 451-4855

2701 12th Ave S
Fargo, ND 58103
Phone (701) 451-4865

Organizations & group practices 2

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": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1477848117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 25TH ST S",
            "address_2": "PO BOX 9859",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032311",
            "telephone_number": "701-451-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 IOWA ST",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563083316",
            "telephone_number": "320-762-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIDL",
        "first_name": "BOBBI",
        "middle_name": "LOUISE",
        "name_prefix": "Miss",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "45197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

Verify at the official NPI Registry.