Individual provider Active NPI

Shelby Marx, MSW, LICSW

  • Clinical Social Worker
  • Winona, MN
National Provider Identifier
1699220418
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26571 Issued in MN
Practice address
420 E Sarnia St Ste 2100
Winona, MN 55987-6414
Phone
(507) 453-6242
NPI assigned
Aug 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 26571 MN Primary

Addresses

Primary practice location

420 E Sarnia St Ste 2100
Winona, MN 55987-6414

Mailing address

PO Box 42
Spring Grove, MN 55974-0042
Phone (507) 459-6604

Other practice location 1

145 West Main Street
Spring Grove, MN 55974
Phone (507) 459-6604

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
I20210105000803 MN Practitioner - Clinical Social Worker 3274946637 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hiawatha Valley Mental Health Center IncGroup PAC ID 7113026998, 25 clinicians

Practice addresses (Care Compare)

145 W Main St
Spring Grove, MN 55974-1225
Phone (507) 459-6604

420 E Sarnia St
Suite 2100
Winona, MN 55987-6414
Phone (507) 454-4341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26571MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Reflective Haven LLC Clinical CurrentSince Jul 10, 2025 Accepting new patients
Hiawatha Valley Mental Health Center Inc. CurrentSince Feb 14, 2022 Accepting new patients
Hiawatha Valley Mental Health Center PastSince Nov 15, 2020 Accepting new patients
Project Pathfinder Inc. PastSince Jul 24, 2022 Accepting new patients

Locations

221 S Kingston St
Caledonia, MN 55921
Phone (507) 725-2022

611 Broadway Ave
Ste 100
Wabasha, MN 55981
Phone (651) 565-2234

420 E Sarnia St
Ste 2100
Winona, MN 55987
Phone (507) 454-4341

Organizations & group practices 4

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": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1699220418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42",
            "city": "SPRING GROVE",
            "state": "MN",
            "postal_code": "559740042",
            "telephone_number": "507-459-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E SARNIA ST STE 2100",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876414",
            "telephone_number": "507-453-6242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 West Main Street",
            "address_purpose": "LOCATION",
            "city": "Spring Grove",
            "state": "MN",
            "postal_code": "55974",
            "country_code": "US",
            "telephone_number": "507-459-6604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARX",
        "first_name": "SHELBY",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "26571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winona, MN

Sources for this page

Verify at the official NPI Registry.