Active NPI
Maren Elizabeth Barootian, MSW, LICSW
- Clinical Social Worker
- Duluth, MN
National Provider Identifier
1801030366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 25752
- 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.
-
- Multi-Specialty Clinic/Center
- Cloquet, MN
- NPI 1902563638
-
- Critical Access Hospital
- Superior, WI
- NPI 1083657886
-
- Adolescent and Children Mental Health Clinic/Center
- Duluth, MN
- NPI 1235488438
-
- Multi-Specialty Clinic/Center
- Duluth, MN
- NPI 1245855162
-
- Critical Access Hospital Clinic/Center
- Superior, WI
- NPI 1588691588
-
- General Acute Care Hospital
- Duluth, MN
- NPI 1033153895
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 25752 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Hospital of Superior | Current |
Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| St. Mary'S Hospital of Superior | Current |
Accepting new patients | |
| The Duluth Clinic LTD | Current |
Accepting new patients | |
| SMDC Medical Center | Past |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 25752 | MN | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.