Individual provider Active NPI

Jennie Marie Bell, LICSW

  • Clinical Social Worker
  • Detroit Lakes, MN
National Provider Identifier
1548694664
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
29386 Issued in MN
Practice address
211 Holmes St W Ste 302
Detroit Lakes, MN 56501-9905
Phone
(888) 818-2618
Fax
(320) 316-2088
NPI assigned
Aug 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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 29386 MN Primary

Addresses

Primary practice location

211 Holmes St W Ste 302
Detroit Lakes, MN 56501-9905

Mailing address

2485 Como Ave Ste 550
Saint Paul, MN 55108-1469
Phone (651) 969-2263

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
I20240404002061 MN Practitioner - Clinical Social Worker 2264870682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lutheran Social Service of MinnesotaGroup PAC ID 1951202019, 13 clinicians

Practice addresses (Care Compare)

211 Holmes St W
Suite 302
Detroit Lakes, MN 56501-9905
Phone (888) 881-8261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29386MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Social Service of Minnesota CurrentSince Feb 21, 2024 Accepting new patients

Locations

716 E St NE
Brainerd, MN 56401
Phone (218) 828-7379

211 Holmes St W
Ste 302
Detroit Lakes, MN 56501
Phone (218) 847-0629

2835 W Saint Germain St
Ste 550
Saint Cloud, MN 56301
Phone (320) 251-7700

2485 Como Ave
Ste 550
Saint Paul, MN 55108

2485 Como Ave
Saint Paul, MN 55108
Phone (800) 582-5260

Organizations & group practices 1

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": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1548694664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 COMO AVE STE 550",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081469",
            "telephone_number": "651-969-2263",
            "fax_number": "651-969-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 HOLMES ST W STE 302",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565019905",
            "telephone_number": "888-818-2618",
            "fax_number": "320-316-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "JENNIE",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "29386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit Lakes, MN

Sources for this page

Verify at the official NPI Registry.