Individual provider Active NPI

Naomi Poole, MSW, LICSW

  • Clinical Social Worker
  • St. Paul, MN
National Provider Identifier
1861133993
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
30007 Issued in MN
Practice address
PO Box 17370
Lot 4641
St. Paul, MN 55117-2238
Phone
(919) 536-9151
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 30007 MN Primary
Social Worker 104100000X 30007 MN

Addresses

Primary practice location

PO Box 17370
Lot 4641
St. Paul, MN 55117-2238

Mailing address

PO Box 17370
Lot 4641
St. Paul, MN 55117-2238
Phone (612) 405-9623

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
I20260514000220 MN Practitioner - Clinical Social Worker 1759859960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

P O Box 17370 Lot
Suite 4641
St. Paul, MN 55117-0370

PO Box
Suite 17370
Saint Paul, MN 55117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30007MNMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anchored in Therapy LLC CurrentSince Mar 4, 2026 Accepting new patients
Phia T Xiong & Jeff D Spencer Foundation PastSince May 1, 2022 Accepting new patients

Locations

925 Payne Ave
Saint Paul, MN 55130
Phone (651) 324-1844

Organizations & group practices 2

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1861133993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17370",
            "address_2": "LOT 4641",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551172238",
            "telephone_number": "612-405-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 17370",
            "address_2": "LOT 4641",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551172238",
            "telephone_number": "919-536-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "NAOMI",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "30007",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "30007",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Paul, MN

Sources for this page

Verify at the official NPI Registry.