Individual provider Active NPI

Bekah Saliterman, LICSW

  • Clinical Social Worker
  • West St Paul, MN
National Provider Identifier
1760445076
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15886 Issued in MN
Practice address
60 E Marie Ave
Suite 119
West St Paul, MN 55118
Phone
(612) 676-1604
Fax
(651) 552-9874
NPI assigned
Apr 8, 2006
Last updated
Nov 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2008

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 15886 MN Primary

Addresses

Primary practice location

60 E Marie Ave
Suite 119
West St Paul, MN 55118

Mailing address

2649 Park Ave
Minneapolis, MN 55407
Phone (612) 676-1604

Other identifiers 2

IdentifierTypeStateIssuer
153415700OtherMEDICAL ASSISTANCE
153415700MedicaidMN

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
I20070522000725 MN Practitioner - Clinical Social Worker 3678670825 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15798 Linnet St NW
Andover, MN 55304-2791
Phone (651) 263-0004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifequest CurrentSince Sep 27, 2024 Accepting new patients
Generations Community Support Service Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226620800000",
    "number": "1760445076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55407",
            "telephone_number": "612-676-1604",
            "fax_number": "612-379-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E MARIE AVE",
            "address_2": "SUITE 119",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "55118",
            "telephone_number": "612-676-1604",
            "fax_number": "651-552-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALITERMAN",
        "first_name": "BEKAH",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-08",
        "last_updated": "2008-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "15886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "153415700",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153415700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West St Paul, MN

Sources for this page

Verify at the official NPI Registry.