Individual provider Active NPI

Michelle Lenertz

  • Clinical Social Worker
  • Elk River, MN
National Provider Identifier
1760928683
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23470 Issued in MN
Practice address
11070 183Rd Cir NW Ste C
Elk River, MN 55330-3701
Phone
(763) 633-5111
NPI assigned
Jan 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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 23470 MN Primary

Addresses

Primary practice location

11070 183Rd Cir NW Ste C
Elk River, MN 55330-3701

Mailing address

11070 183Rd Cir NW Ste C
Elk River, MN 55330-3701
Phone (763) 633-5111

Other practice location 1

5910 Shingle Creek Pkwy
Brooklyn Center, MN 55430-2322
Phone (763) 569-5200

Other practice location 2

6425 Nicollet Ave
Richfield, MN 55423-1675
Phone (612) 861-1675

Other practice location 3

701 Decatur Ave N Ste 109
Golden Valley, MN 55427-4363
Phone (763) 746-2400

Other practice location 4

1001 Highway 7 Ste 309
Hopkins, MN 55305-4737
Phone (763) 569-5200

Other practice location 5

10000 Zane Ave N
Brooklyn Park, MN 55443-1400
Phone (612) 672-6999

Other names 1

  • Michelle Justen Former name

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
I20170228001177 MN Practitioner - Clinical Social Worker 3274817820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hardy and Stephens Counseling Associates PLLCGroup PAC ID 6305201278, 9 clinicians

Practice addresses (Care Compare)

11070 183Rd Cir NW
Suite C
Elk River, MN 55330-3701
Phone (763) 633-5111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23470MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hardy & Stephens Counseling Associates PLLC CurrentSince Feb 7, 2023 Accepting new patients

Locations

11070 183rd Cir NW
Ste C
Elk River, MN 55330
Phone (763) 257-5301

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": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1760928683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11070 183RD CIR NW STE C",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553303701",
            "telephone_number": "763-633-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11070 183RD CIR NW STE C",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553303701",
            "telephone_number": "763-633-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5910 Shingle Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Center",
            "state": "MN",
            "postal_code": "554302322",
            "country_code": "US",
            "telephone_number": "763-569-5200",
            "fax_number": "763-569-5201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6425 Nicollet Ave",
            "address_purpose": "LOCATION",
            "city": "Richfield",
            "state": "MN",
            "postal_code": "554231675",
            "country_code": "US",
            "telephone_number": "612-861-1675",
            "fax_number": "612-861-3446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Decatur Ave N Ste 109",
            "address_purpose": "LOCATION",
            "city": "Golden Valley",
            "state": "MN",
            "postal_code": "554274363",
            "country_code": "US",
            "telephone_number": "763-746-2400",
            "fax_number": "763-746-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Highway 7 Ste 309",
            "address_purpose": "LOCATION",
            "city": "Hopkins",
            "state": "MN",
            "postal_code": "553054737",
            "country_code": "US",
            "telephone_number": "763-569-5200",
            "fax_number": "763-569-5201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10000 Zane Ave N",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Park",
            "state": "MN",
            "postal_code": "554431400",
            "country_code": "US",
            "telephone_number": "612-672-6999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENERTZ",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "23470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "JUSTEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elk River, MN

Sources for this page

Verify at the official NPI Registry.