Individual provider Active NPI

Debbie Rae Semmelroth, DNP, MSW, LICSW

  • Clinical Social Worker
  • Duluth, MN
National Provider Identifier
1629677554
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27727 Issued in MN
Practice address
1001 E 9TH St # 111
Duluth, MN 55805-1604
Phone
(218) 270-4779
Fax
(218) 216-8983
NPI assigned
Oct 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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 27727 MN Primary

Addresses

Primary practice location

1001 E 9TH St # 111
Duluth, MN 55805-1604

Mailing address

1001 E 9TH St # 111
Duluth, MN 55805-1604
Phone (218) 270-4449

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
I20201111000063 MN Practitioner - Clinical Social Worker 2961812557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1001 E 9TH St
Suite 111
Duluth, MN 55805-1604
Phone (215) 590-4199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Selah Center for Grief & Loss Clinical CurrentSince Sep 23, 2022 Accepting new patients
Rossow Counseling LLC PastSince Jan 14, 2024 Accepting new patients

Locations

1001 E 9th St
Ste 111
Duluth, MN 55805
Phone (215) 590-4199

Organizations & group practices 2

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": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1629677554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E 9TH ST # 111",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051604",
            "telephone_number": "218-270-4449",
            "fax_number": "218-216-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E 9TH ST # 111",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051604",
            "telephone_number": "218-270-4779",
            "fax_number": "218-216-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMMELROTH",
        "first_name": "DEBBIE",
        "middle_name": "RAE",
        "credential": "DNP, MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2022-02-15",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "27727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.