Amy Melissa Habedank, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11936 Issued in MN

Practice address

1068 Lake St S Ste 109
Forest Lake, MN 55025-2633

Phone

(651) 982-4792

Fax

(651) 982-6035

NPI assigned

Apr 18, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Bridges and Pathways Counseling Services Inc.

  • Clinical Social Worker
  • Forest Lake, MN
  • NPI 1801929914
  Medicare reassignment
• Secure Base Counseling Center LLC

  • Psychologist
  • Northfield, MN
  • NPI 1285905885

  Clinical

  NPD (past)

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

{
    "created_epoch": "1776470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1679417695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8972 BATAAN CT",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554495649",
            "telephone_number": "507-301-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 LAKE ST S STE 109",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252633",
            "telephone_number": "651-982-4792",
            "fax_number": "651-982-6035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "570 Professional Dr",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "MN",
            "postal_code": "550572756",
            "country_code": "US",
            "telephone_number": "507-301-3412",
            "fax_number": "507-301-3308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABEDANK",
        "first_name": "AMY",
        "middle_name": "MELISSA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-18",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "11936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Greenbaum, LADC
• Daniel Gruetzman, PHARMD
• Erica Gunderson, HCHI, HD
• Susan Stephanie Gustafson, LPN
• Thomas Haas III
• Dan John Hagen, RPH
• Halabrin Marty and Associates
• Halabrin Marty and Associates
• Rebecca Jean Halabrin-Marty, PSY.D.
• Lacey Hammond

• Clinical Social Worker in Forest Lake, MN
• Providers in Forest Lake, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.