Individual provider Active NPI

Maren Elizabeth Barootian, MSW, LICSW

  • Clinical Social Worker
  • Duluth, MN
National Provider Identifier
1801030366
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25752 Issued in MN
Practice address
615 Pecan Ave
Duluth, MN 55811
Phone
(218) 355-2113
NPI assigned
Apr 28, 2009
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MN, WI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20181203002414 MN Practitioner - Clinical Social Worker 2163766114 Reassigns benefits to 2 organizations
I20230717003046 WI Practitioner - Clinical Social Worker 2163766114 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
25752MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Hospital of Superior Current
since Jun 15, 2023
Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
St. Mary'S Hospital of Superior Current
since Jan 1, 2026
Accepting new patients
The Duluth Clinic LTD Current
since Oct 25, 2021
Accepting new patients
SMDC Medical Center Past
since Dec 10, 2018
Accepting new patients

Locations

502 E 2nd St
Duluth, MN 55805
Phone (218) 727-8762

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 25752 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

615 Pecan Ave
Duluth, MN 55811

Mailing address

2222 Pershing St
Duluth, MN 55811-3027
Phone (218) 721-2478

Other practice location 1

1200 Kenwood Ave
Duluth, MN 55811-4199
Phone (218) 625-4915

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 18, 2018.

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1801030366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 PERSHING ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558113027",
            "telephone_number": "218-721-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PECAN AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55811",
            "telephone_number": "218-355-2113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Kenwood Ave",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558114199",
            "country_code": "US",
            "telephone_number": "218-625-4915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAROOTIAN",
        "first_name": "MAREN",
        "middle_name": "ELIZABETH",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-28",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "25752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.