Individual provider Active NPI

Brittany Annmarie Barkholtz, MSW, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1689280323
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27248 Issued in MN
Practice address
2550 University Ave W Ste 435S
Saint Paul, MN 55114-1907
Phone
(651) 647-1900
Fax
(651) 647-1861
NPI assigned
Sep 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 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 27248 MN Primary

Addresses

Primary practice location

2550 University Ave W Ste 435S
Saint Paul, MN 55114-1907

Mailing address

2550 University Ave W Ste 435S
Saint Paul, MN 55114-1907
Phone (651) 647-1900

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
I20201113000990 MN Practitioner - Clinical Social Worker 7315357753 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Center for Personal & Family Development PA CurrentSince Sep 4, 2020 Accepting new patients
Pathway Virtu-Health PastSince Sep 20, 2020 Accepting new patients

Locations

2550 University Ave W
Ste 435S
Saint Paul, MN 55114
Phone (651) 286-8527

2550 University Ave W
Saint Paul, MN 55114
Phone (651) 645-3115

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": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1689280323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W STE 435S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141907",
            "telephone_number": "651-647-1900",
            "fax_number": "651-647-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W STE 435S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141907",
            "telephone_number": "651-647-1900",
            "fax_number": "651-647-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKHOLTZ",
        "first_name": "BRITTANY",
        "middle_name": "ANNMARIE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "27248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.