Individual provider Active NPI

Bobbie Jo Davis

  • Clinical Social Worker
  • Bemidji, MN
National Provider Identifier
1568860914
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27542 Issued in MN
Practice address
519 Anne St NW Ste B
Bemidji, MN 56601-4278
Phone
(218) 444-2845
Fax
(218) 444-2847
NPI assigned
Dec 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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 27542 MN Primary

Addresses

Primary practice location

519 Anne St NW Ste B
Bemidji, MN 56601-4278

Mailing address

909 America Ave NW
Bemidji, MN 56601-2844
Phone (218) 444-2845

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
I20251202001427 MN Practitioner - Clinical Social Worker 7315430022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stellher Human Services, Inc.Group PAC ID 2365768199, 8 clinicians

Practice addresses (Care Compare)

519 Anne St NW
Suite B
Bemidji, MN 56601-4278
Phone (218) 444-2845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stellher Human Services, Inc. CurrentSince Sep 18, 2025 Accepting new patients

Locations

519 Anne St NW
Ste B
Bemidji, MN 56601
Phone (218) 444-2008

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": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1568860914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 AMERICA AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012844",
            "telephone_number": "218-444-2845",
            "fax_number": "218-444-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 ANNE ST NW STE B",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014278",
            "telephone_number": "218-444-2845",
            "fax_number": "218-444-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BOBBIE",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-17",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "27542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

Verify at the official NPI Registry.