Individual provider Active NPI

Valerie Hawkinson, MSW, LICSW

  • Clinical Social Worker
  • Grand Rapids, MN
National Provider Identifier
1871057133
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22649 Issued in MN
Practice address
1200 S Pokegama Ave Ste 160
Grand Rapids, MN 55744-4296
Phone
(218) 999-0051
Fax
(218) 999-7020
NPI assigned
Jan 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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 22649 MN Primary

Addresses

Primary practice location

1200 S Pokegama Ave Ste 160
Grand Rapids, MN 55744-4296

Mailing address

323 NW 7TH St
Grand Rapids, MN 55744-2554
Phone (763) 614-7837

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
I20190523002632 MN Practitioner - Clinical Social Worker 7810230364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Compass North Psychological Services IncGroup PAC ID 6002158755, 2 clinicians

Practice addresses (Care Compare)

502 SE 10TH St
Grand Rapids, MN 55744-3921
Phone (218) 999-0051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Compass North Psychological Services Inc CurrentSince Apr 13, 2019 Accepting new patients
Providence Psychiatry Services, LTD. PastSince Jan 29, 2017 Accepting new patients

Locations

1200 S Pokegama Ave
Ste 160
Grand Rapids, MN 55744
Phone (218) 246-6286

502 SE 10th St
Grand Rapids, MN 55744
Phone (218) 246-6286

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": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1871057133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 NW 7TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442554",
            "telephone_number": "763-614-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S POKEGAMA AVE STE 160",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444296",
            "telephone_number": "218-999-0051",
            "fax_number": "218-999-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINSON",
        "first_name": "VALERIE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MN

Sources for this page

Verify at the official NPI Registry.