Individual provider Active NPI

James Lloyd Stolz, MSW LICSW

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1649296658
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16011 Issued in MN
Practice address
2736 Hennepin Ave S
Minneapolis, MN 55408-1037
Phone
(612) 799-3696
Fax
(612) 234-4603
NPI assigned
Jul 14, 2006
Last updated
Jul 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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 16011 MN Primary

Addresses

Primary practice location

2736 Hennepin Ave S
Minneapolis, MN 55408-1037

Mailing address

2736 Hennepin Ave S
Minneapolis, MN 55408-1037
Phone (612) 799-3696

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
I20060207000060 MN Practitioner - Clinical Social Worker 8527073923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JLS Consulting, IncGroup PAC ID 6709202310, 2 clinicians

Practice addresses (Care Compare)

2736 Hennepin Ave
Suite 100
Minneapolis, MN 55408-1037
Phone (612) 799-3696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JLS Consulting, Inc Clinical CurrentSince Jun 12, 2020 Accepting new patients
Psych Recovery Inc Clinical PastSince May 15, 2009 Accepting new patients
Psychiatric Recovery PA Past Accepting new patients

Locations

595 Selby Ave
Saint Paul, MN 55102
Phone (612) 234-7122

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1649296658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2736 HENNEPIN AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081037",
            "telephone_number": "612-799-3696",
            "fax_number": "612-234-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2736 HENNEPIN AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081037",
            "telephone_number": "612-799-3696",
            "fax_number": "612-234-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLZ",
        "first_name": "JAMES",
        "middle_name": "LLOYD",
        "credential": "MSW LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.