Individual provider Active NPI

Lindsay Hjermstad, LICSW

  • Clinical Social Worker
  • Mendota Heights, MN
National Provider Identifier
1851928956
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26848 Issued in MN
Practice address
1385 Mendota Heights Rd Ste 200
Mendota Heights, MN 55120-1289
Phone
(651) 379-9800
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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 26848 MN Primary

Addresses

Primary practice location

1385 Mendota Heights Rd Ste 200
Mendota Heights, MN 55120-1289

Mailing address

13879 Granada Way
Apple Valley, MN 55124-5059
Phone (952) 212-1525

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
I20241202000099 MN Practitioner - Clinical Social Worker 4385179209 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fairweather Investments, LLC CurrentSince Oct 1, 2024 Accepting new patients
Family Adolescents and Children Therapy Services Inc. PastSince Mar 29, 2020 Accepting new patients
Lakeville Behavioral Health, LLC PastSince Oct 1, 2024 Accepting new patients

Locations

10535 165th St W
Lakeville, MN 55044
Phone (952) 435-0022

Organizations & group practices 3

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1851928956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13879 GRANADA WAY",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245059",
            "telephone_number": "952-212-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 MENDOTA HEIGHTS RD STE 200",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201289",
            "telephone_number": "651-379-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HJERMSTAD",
        "first_name": "LINDSAY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "26848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendota Heights, MN

Sources for this page

Verify at the official NPI Registry.