Individual provider Active NPI

Lindsay J Duenow

  • Addiction (Substance Use Disorder) Counselor
  • Minneapolis, MN
National Provider Identifier
1871799320
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
302164 Issued in MN
Practice address
4432 Chicago Ave
Minneapolis, MN 55407-3519
Phone
(612) 870-2456
Fax
(612) 824-2403
NPI assigned
Jun 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 302164 MN Primary

Addresses

Primary practice location

4432 Chicago Ave
Minneapolis, MN 55407-3519

Mailing address

7500 Highway 7
Apt. 252
St Louis Park, MN 55426-4150

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
I20240708000511 MN Practitioner - Clinical Social Worker 9931643590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of FreebornGroup PAC ID 2163404872, 8 clinicians

Practice addresses (Care Compare)

203 W Clark St
Albert Lea, MN 56007-2549
Phone (507) 377-5403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
302164MNMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Freeborn CurrentSince Apr 25, 2024 Accepting new patients
County of Freeborn CurrentSince Apr 25, 2024 Accepting new patients
County of Freeborn Past Accepting new patients

Locations

203 W Clark St
Albert Lea, MN 56007
Phone (507) 377-5403

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871799320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 HIGHWAY 7",
            "address_2": "APT. 252",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4432 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073519",
            "telephone_number": "612-870-2456",
            "fax_number": "612-824-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUENOW",
        "first_name": "LINDSAY",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.