Individual provider Active NPI

Natasha Lynn Duellman, MSW, LGSW-PL, LADC

  • Clinical Social Worker
  • Rochester, MN
National Provider Identifier
1558097303
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
33958 Issued in MN
Practice address
25 16TH St NE
Rochester, MN 55906-4620
Phone
(507) 361-3001
NPI assigned
Jul 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 306419 MN
Clinical Social Worker 1041C0700X 33958 MN Primary

Addresses

Primary practice location

25 16TH St NE
Rochester, MN 55906-4620

Mailing address

25 16TH St NE
Rochester, MN 55906-4620
Phone (075) 361-3001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
306419MNMDAddiction (Substance Use Disorder) Counselor
33958MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Zumbro Valley Health Center PastSince Jul 1, 2022 Accepting new patients

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": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1558097303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 16TH ST NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559064620",
            "telephone_number": "075-361-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 16TH ST NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559064620",
            "telephone_number": "507-361-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUELLMAN",
        "first_name": "NATASHA",
        "middle_name": "LYNN",
        "credential": "MSW, LGSW-PL, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "306419",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "33958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.