Adrienne M Kovar, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18862 Issued in MN

Practice address

1068 Lake St S
Ste 109
Forest Lake, MN 55025-2633

Phone

(651) 982-4792

Fax

(651) 982-6035

NPI assigned

Mar 22, 2011

Last updated

Feb 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bridges and Pathways Counseling Services Inc.Group PAC ID 2264776269, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bridges and Pathways Counseling Services Inc.

  • Clinical Social Worker
  • Forest Lake, MN
  • NPI 1801929914
  Medicare reassignment Care Compare group NPD Authorized official
• Lakes Area Human Services, Inc.

  • Community/Behavioral Health Agency
  • Forest Lake, MN
  • NPI 1700956646
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1518266162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 LAKE ST S",
            "address_2": "STE 109",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252633",
            "telephone_number": "651-982-4792",
            "fax_number": "651-982-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 LAKE ST S",
            "address_2": "STE 109",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252633",
            "telephone_number": "651-982-4792",
            "fax_number": "651-982-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVAR",
        "first_name": "ADRIENNE",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Kirby, MA
• Donald Wayne Kjome, M.D.
• Sarah Marie Klein, PT, DPT
• Abbygayle Rose Knutson
• Linda E Kordosky, LMFT
• Kenneth Richard Kramer, RPH
• Emily Krantz, LPCC
• Susan Kreulen, LICSW
• Mark Kropidlowski
• Laura A D Kunde, LADC, LMFT

• Clinical Social Worker in Forest Lake, MN
• Providers in Forest Lake, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.

Verify at the official NPI Registry.