Individual provider Active NPI

Rebecca Lynn Pihl, MSW, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1689901670
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16425 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
Nov 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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 16425 MN Primary

Addresses

Primary practice location

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

Mailing address

3340 37TH Ave S
Minneapolis, MN 55406-2139
Phone (651) 226-7445

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
I20121212000065 MN Practitioner - Clinical Social Worker 4587816905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest Center for Personal and Family Development, P.a.Group PAC ID 3173436185, 17 clinicians

Practice addresses (Care Compare)

2550 University Ave W
Saint Paul, MN 55114-1052
Phone (651) 647-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Center for Personal & Family Development PA CurrentSince Feb 1, 2019 Accepting new patients
Pathway Virtu-Health PastSince Feb 7, 2021 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": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1689901670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 37TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062139",
            "telephone_number": "651-226-7445"
        },
        {
            "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": "PIHL",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-11",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.