Jennifer Briest, LICSW – Clinical Social Worker

Key facts

NPI: 1780006858
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 21041 (MN)
Practice address: 1212 E College Dr
Marshall, MN 56258-2010
Phone: (507) 532-3236
NPI assigned: Jan 9, 2014
Sex: Female
Sole proprietor: Yes

Organizations & group practices 8

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.

CCM Health Critical Access Hospital · Montevideo, MN · NPI 1720086028

Medicare reassignment Care Compare group NPD MN
Western Mental Health Center, Inc. Mental Health Counselor · Marshall, MN · NPI 1982613311

Medicare reassignment NPD MN
CCM Health Rural Health Clinic/Center · Milan, MN · NPI 1457132466

Care Compare group NPD
CCM Health Rural Health Clinic/Center · Montevideo, MN · NPI 1407636475

Care Compare group NPD (past)
CCM Health Home Health Agency · Montevideo, MN · NPI 1275751950

Care Compare group
CCM Health Medicare Defined Swing Bed Hospital Unit · Montevideo, MN · NPI 1346460755

Care Compare group
CCM Health Rural Health Clinic/Center · Marshall, MN · NPI 1487436655

Care Compare group
CCM Health Rural Health Clinic/Center · Clara City, MN · NPI 1679354690

Care Compare group

Medicare Care Compare profile

Specialty: Clinical Social Worker
Education: Other, 2011
Medicare assignment: May accept Medicare assignment
Group practices: CCM Health (69 clinicians)

Practice addresses (Care Compare)

824 N 11TH St
Montevideo, MN 56265-1629
Phone (320) 269-8877

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MN
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20140212000487	MN	Practitioner - Clinical Social Worker	4981833019	Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
303583	MN	MD	Addiction (Substance Use Disorder) Counselor

Practice roles

Organization	Status	New patients
CCM Health	Current since Oct 5, 2020	Accepting new patients
CCM Health	Current since Oct 5, 2020	Accepting new patients
Western Mental Health Center, Inc.	Current since Dec 7, 2015	Accepting new patients
CCM Health	Past	Accepting new patients

Locations

1212 E College Dr
Marshall, MN 56258
Phone (507) 532-3236

824 N 11th St
Montevideo, MN 56265
Phone (320) 269-8877

Interoperability endpoints

FHIR API: https://api.qualifacts.org/api/fhir/wmhcinc/r4/

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Addiction (Substance Use Disorder) Counselor	101YA0400X	303583	MN
Clinical Social Worker	1041C0700X	21041	MN	Yes

Addresses

Primary practice location

1212 E College Dr
Marshall, MN 56258-2010

Mailing address

1212 E College Dr
Marshall, MN 56258-2010
Phone (507) 532-3236

Other names

Jennifer Lee Briest Other name

Other providers in Marshall, MN

All providers in Marshall, MN · Clinical Social Worker in Minnesota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2018. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.