Ann Duevel, LICSW, LADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28158 Issued in MN

Practice address

2077 Lindy Ave
Roseville, MN 55113-5926

Phone

(507) 571-2933

NPI assigned

Feb 2, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Affinity Psychological Services, P.C.

  • Mental Health Counselor
  • Edina, MN
  • NPI 1245610856
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1821741406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2077 LINDY AVE",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551135926",
            "telephone_number": "507-571-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2077 LINDY AVE",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551135926",
            "telephone_number": "507-571-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUEVEL",
        "first_name": "ANN",
        "credential": "LICSW, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "28158",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "304854",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeeha Drissi, MD
• DRS. North & Watson, Optometrists P. a.
• Laura Kathryn Dryjanski, CNP-FNP
• Halima Duale
• Nimo Mohamed Duale
• Jacqueline Kay Ford Dufour, CRNA
• Mikaela R Dunn, LICSW
• Ayanna Elizabeth Duren, M.A., LAMFT
• Dynamic Health Care
• Eagle Therapy LLC

• Clinical Social Worker in Roseville, MN
• Providers in Roseville, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.

Verify at the official NPI Registry.