Individual provider Active NPI

Marie Amelia Metzger

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1518526532
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21933 Issued in MN
Practice address
2312 S 6TH St
Minneapolis, MN 55454-1336
Phone
(612) 371-6300
NPI assigned
Jun 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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 21933 MN Primary

Addresses

Primary practice location

2312 S 6TH St
Minneapolis, MN 55454-1336

Mailing address

Behavioral Healthcare Providers 1405 N. Lilac Drive
151
Golden Valley, MN 55422

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
I20211208000833 MN Practitioner - Clinical Social Worker 8921498882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

2700 Snelling Ave N
Suite 400
Roseville, MN 55113-1783
Phone (763) 525-1746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Specialty Services CurrentSince Oct 29, 2021 Accepting new patients
Range Regional Health Services Current Accepting new patients
Range Regional Health Services CurrentSince Sep 15, 2025 Accepting new patients
Fairview Express Care Current Accepting new patients
Range Regional Health Services CurrentSince Sep 15, 2025 Accepting new patients
Fairview Express Care CurrentSince Oct 29, 2021 Accepting new patients

Locations

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

1405 Lilac Dr N
#151
Minneapolis, MN 55422
Phone (763) 525-9199

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

2700 Snelling Ave N
Ste 400
Saint Paul, MN 55113
Phone (651) 697-5804

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

Organizations & group practices 6

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": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1518526532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BEHAVIORAL HEALTHCARE PROVIDERS 1405 N. LILAC DRIVE",
            "address_2": "151",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "55422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 S 6TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541336",
            "telephone_number": "612-371-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZGER",
        "first_name": "MARIE",
        "middle_name": "AMELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "21933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.