Ronna Rae Severson, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20685 Issued in MN

Practice address

614 Hawthorne St Ste 2
Alexandria, MN 56308-1662

Phone

(320) 491-1892

NPI assigned

Jan 28, 2011

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kinetic Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alexandria, MN
  • NPI 1598350092
  NPD Authorized official

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1679879381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 133",
            "city": "CARLOS",
            "state": "MN",
            "postal_code": "563190133",
            "telephone_number": "320-491-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 HAWTHORNE ST STE 2",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081662",
            "telephone_number": "320-491-1892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21081 County Highway 1",
            "address_purpose": "LOCATION",
            "city": "Fergus Falls",
            "state": "MN",
            "postal_code": "565377603",
            "country_code": "US",
            "telephone_number": "218-346-1762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEVERSON",
        "first_name": "RONNA",
        "middle_name": "RAE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Schulz-Borris, NCBTMB
• Select Hearing LLC
• Serene Haven Home Care
• Kurt G Setterholm, PA
• Lacey Marie Severson, RN
• Sharon'S Senior Services Inc
• Sharons Senior Services Inc
• Jody J. Shaskey-Setright, MS, LICSW
• Jamie Lyn Shelley, CNM
• Sherie Carlson PHD LP PLLC

• Clinical Social Worker in Alexandria, MN
• Providers in Alexandria, 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 Mar 5, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.