Individual provider Active NPI

Roxann J Storms, MSW, LICSW

  • Clinical Social Worker
  • Little Falls, MN
National Provider Identifier
1730527367
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11986 Issued in MN
Practice address
1906 5TH Ave SE
Little Falls, MN 56345-3317
Phone
(320) 632-6647
NPI assigned
Jun 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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 11986 MN Primary

Addresses

Primary practice location

1906 5TH Ave SE
Little Falls, MN 56345-3317

Mailing address

21706 County Road 44
Clearwater, MN 55320-1204
Phone (320) 248-1563

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
I20131205000427 MN Practitioner - Clinical Social Worker 3779710371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Life TransitionsGroup PAC ID 5193150639, 2 clinicians

Practice addresses (Care Compare)

38 24TH Ave N
Saint Cloud, MN 56303-4340
Phone (320) 774-1901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11986MNMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Life Transitions CurrentSince Jan 1, 2019 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": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1730527367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21706 COUNTY ROAD 44",
            "city": "CLEARWATER",
            "state": "MN",
            "postal_code": "553201204",
            "telephone_number": "320-248-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 5TH AVE SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453317",
            "telephone_number": "320-632-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORMS",
        "first_name": "ROXANN",
        "middle_name": "J",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "11986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, MN

Sources for this page

Verify at the official NPI Registry.