Individual provider Active NPI

Colleen Renee Mens, MSW, LICSW

  • Clinical Social Worker
  • Rosemount, MN
National Provider Identifier
1699097394
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13227 Issued in MN
Practice address
15170 Chippendale Ave W Ste 300
Rosemount, MN 55068
Phone
(651) 226-1160
NPI assigned
Feb 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2018

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 13227 MN Primary

Addresses

Primary practice location

15170 Chippendale Ave W Ste 300
Rosemount, MN 55068

Mailing address

2140 62ND St E
Inver Grove Heights, MN 55077-2162
Phone (651) 453-0566

Other practice location 1

3440 Federal Dr Ste 150
Eagan, MN 55122-3516
Phone (651) 452-2305

Other identifiers 1

IdentifierTypeStateIssuer
1699097394MedicaidMN

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
I20110913000182 MN Practitioner - Clinical Social Worker 5597936161 Practice locations: Eagan, MN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3344 Sherman CT
Suite 102
Eagan, MN 55121-5009
Phone (651) 226-1160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13227MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Cities Play Therapy Center Past Accepting new patients

Organizations & group practices 1

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": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1699097394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 62ND ST E",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550772162",
            "telephone_number": "651-453-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15170 CHIPPENDALE AVE W STE 300",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "55068",
            "telephone_number": "651-226-1160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3440 Federal Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Eagan",
            "state": "MN",
            "postal_code": "551223516",
            "country_code": "US",
            "telephone_number": "651-452-2305",
            "fax_number": "651-452-2796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENS",
        "first_name": "COLLEEN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "13227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699097394",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemount, MN

Sources for this page

Verify at the official NPI Registry.