Audrey Ann Kolnes, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19572 Issued in MN

Practice address

980 South Tower Road
Fergus Falls, MN 56537-7603

Phone

(218) 736-6987

Fax

(218) 736-6980

NPI assigned

Aug 2, 2013

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lakeland Mental Health Center

  • Case Manager/Care Coordinator
  • Fergus Falls, MN
  • NPI 1063869055
  NPD (past)

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1548692429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 LINDEN LN",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013203",
            "telephone_number": "218-849-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 SOUTH TOWER ROAD",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565377603",
            "telephone_number": "218-736-6987",
            "fax_number": "218-736-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLNES",
        "first_name": "AUDREY",
        "middle_name": "ANN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "19572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Knutson
• Melissa Koehl, NP
• James Charles Koenig, DDS
• Joellen Kohlman-Petrick, MD
• Jennifer Marie Kohorst, RN
• Katie Koplin
• Audrey Jean Kortz, LADC
• Cassandra Kowalski
• Dina Rae Kowalski, LMFT
• Emma Marie Koza, M.S., CCC-SLP

• Clinical Social Worker in Fergus Falls, MN
• Providers in Fergus Falls, 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 Aug 2, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.