Individual provider Active NPI

Steven Severson, LICSW

  • Clinical Social Worker
  • Golden Valley, MN
National Provider Identifier
1780060129
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24717 Issued in MN
Practice address
1405 Lilac Dr N Ste 151
Golden Valley, MN 55422
Phone
(763) 525-1746
Fax
(763) 486-4439
NPI assigned
Aug 8, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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 24717 MN Primary

Addresses

Primary practice location

1405 Lilac Dr N Ste 151
Golden Valley, MN 55422

Mailing address

13245 Findlay Ave
Apple Valley, MN 55124-8142

Other practice location 1

13245 Findlay Ave
Apple Valley, MN 55124-8142
Phone (952) 239-6635

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
I20180719003942 MN Practitioner - Clinical Social Worker 2961759048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oak Ridge Center PLLCGroup PAC ID 2365339322, 12 clinicians

Practice addresses (Care Compare)

14665 Galaxie Ave
Suite 210
Apple Valley, MN 55124-4510
Phone (952) 431-6033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Oak Ridge Center PLLC CurrentSince Feb 12, 2019 Accepting new patients
Fairview Express Care CurrentSince Dec 8, 2019 Accepting new patients
Fairview Health Services CurrentSince Dec 8, 2019 Accepting new patients
Steven C Severson Psychotherapy, LLC. Past Accepting new patients

Locations

1405 Lilac Dr N
Ste 151
Minneapolis, MN 55422
Phone (763) 525-9919

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

14665 Galaxie Ave
Ste 210
Saint Paul, MN 55124
Phone (952) 212-2103

Organizations & group practices 6

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": "1438992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1780060129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13245 FINDLAY AVE",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551248142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 LILAC DR N STE 151",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "55422",
            "telephone_number": "763-525-1746",
            "fax_number": "763-486-4439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13245 Findlay Ave",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "MN",
            "postal_code": "551248142",
            "country_code": "US",
            "telephone_number": "952-239-6635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEVERSON",
        "first_name": "STEVEN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-08",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "24717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

Verify at the official NPI Registry.