Individual provider Active NPI

Roxanne L. Zerwas, MSW, LICSW

  • Clinical Social Worker
  • Thief River Falls, MN
National Provider Identifier
1497203228
Registry record updated Dec 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13199 Issued in MN
Practice address
120 Labree Ave S
Thief River Falls, MN 56701-2819
Phone
(218) 683-4351
Fax
(218) 683-4362
NPI assigned
Sep 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 437644 MN
Clinical Social Worker 1041C0700X 13199 MN Primary

Addresses

Primary practice location

120 Labree Ave S
Thief River Falls, MN 56701-2819

Mailing address

120 Labree Ave S
Thief River Falls, MN 56701-2819
Phone (218) 683-4351

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
I20180323000201 MN Practitioner - Clinical Social Worker 8628330016 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakewood Health SystemGroup PAC ID 1052229671, 107 clinicians

Practice addresses (Care Compare)

49725 County
Suite 83
Staples, MN 56479-5280
Phone (218) 894-1515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
437644MNMDSchool Social Worker
13199MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Health System Current Accepting new patients
Compass North Psychological Services Inc CurrentSince Aug 26, 2019 Accepting new patients
Lakewood Health System CurrentSince Apr 3, 2023 Accepting new patients
Lakewood Health System CurrentSince Apr 3, 2023 Accepting new patients
Lakewood Health System Past Accepting new patients

Locations

502 SE 10th St
Grand Rapids, MN 55744
Phone (218) 246-6286

49725 County 83
Staples, MN 56479
Phone (218) 894-1033

Organizations & group practices 5

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": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513209600000",
    "number": "1497203228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LABREE AVE S",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567012819",
            "telephone_number": "218-683-4351",
            "fax_number": "218-683-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LABREE AVE S",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567012819",
            "telephone_number": "218-683-4351",
            "fax_number": "218-683-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERWAS",
        "first_name": "ROXANNE",
        "middle_name": "L.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2017-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MN",
            "license": "437644",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "13199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thief River Falls, MN

Sources for this page

Verify at the official NPI Registry.