Carrie H Menk, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14866 Issued in MN

Practice address

401 Division Street
Suite C
Northfield, MN 55057-2096

Phone

(507) 649-7294

Fax

(507) 333-6484

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Centered PracticeGroup PAC ID 8527232198, 7 clinicians

Practice addresses (Care Compare)

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.

• Centered Practice

  • Community/Behavioral Health Agency
  • Northfield, MN
  • NPI 1235428665
  Medicare reassignment Care Compare group NPD Authorized official
• Youable Emotional Health Services

  • Community/Behavioral Health Agency
  • Richfield, MN
  • NPI 1386728228
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1881814895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 DIVISION STREET",
            "address_2": "SUITE C",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572096",
            "telephone_number": "507-649-7294",
            "fax_number": "507-333-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DIVISION STREET",
            "address_2": "SUITE C",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572096",
            "telephone_number": "507-649-7294",
            "fax_number": "507-333-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENK",
        "first_name": "CARRIE",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "14866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meissner Psychiatric Care PLLC
• Deborah Lois Meissner, DNP, PMHNP-BC
• Jeffrey T Meland, MD
• Lynn Marie Melhouse, PTA
• Theresa M Melnychenko, MA, LP
• Anne Elizabeth Meyer-Ruppel, NP
• Garet Chayce Miliner, OD
• Mind Body Psychotherapy LLC
• Minnesota Odd Fellows Home
• Minnesota Odd Fellows Home

• Clinical Social Worker in Northfield, MN
• Providers in Northfield, 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 Oct 4, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.