Individual provider Active NPI

Rochelle L Carrick, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1497569420
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27400 Issued in MN
Practice address
4757 Heights Dr
Minneapolis, MN 55421-3352
Phone
(612) 251-9800
NPI assigned
Feb 1, 2025
Last updated
Feb 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

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 27400 MN Primary

Addresses

Primary practice location

4757 Heights Dr
Minneapolis, MN 55421-3352

Mailing address

4757 Heights Dr
Minneapolis, MN 55421-3352
Phone (612) 251-9800

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
I20260224002699 MN Practitioner - Clinical Social Worker 7113408501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Innovations IncGroup PAC ID 6204178528, 96 clinicians

Practice addresses (Care Compare)

6800 78TH Ave N
Suite 101
Brooklyn Park, MN 55445-2758
Phone (612) 314-0349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27400MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Innovations, Inc. Clinical CurrentSince Apr 6, 2026 Accepting new patients
West Central Counseling LLC Clinical PastSince Jun 6, 2021 Accepting new patients

Locations

121 5th Ave W
Alexandria, MN 56308
Phone (320) 759-3096

1833 3rd Ave
Anoka, MN 55303
Phone (763) 421-5535

6800 78th Ave N
Ste 101
Brooklyn Park, MN 55445
Phone (612) 314-0349

6800 78th Ave N
Minneapolis, MN 55445
Phone (612) 314-0349

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, 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": "1738368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738368000000",
    "number": "1497569420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4757 HEIGHTS DR",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554213352",
            "telephone_number": "612-251-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4757 HEIGHTS DR",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554213352",
            "telephone_number": "612-251-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRICK",
        "first_name": "ROCHELLE",
        "middle_name": "L",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-01",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "27400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.