Individual provider Active NPI

Nicole Kempenich Linkert, MSW, LICSW

  • Clinical Social Worker
  • Little Falls, MN
National Provider Identifier
1902292543
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19681 Issued in MN
Practice address
212 1St St SE
Little Falls, MN 56345-0367
Phone
(320) 360-6898
NPI assigned
Apr 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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 19681 MN Primary

Addresses

Primary practice location

212 1St St SE
Little Falls, MN 56345-0367

Mailing address

PO Box 367
Little Falls, MN 56345-0367

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
I20170112000229 MN Practitioner - Clinical Social Worker 4486935160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15088 22ND Ave NE
Little Falls, MN 56345-4199
Phone (320) 360-6898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A Willow Bends LLC Clinical CurrentSince Jun 1, 2024 Accepting new patients

Locations

15088 22nd Ave NE
Little Falls, MN 56345
Phone (320) 360-6898

Organizations & group practices 1

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": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1902292543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563450367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 1ST ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563450367",
            "telephone_number": "320-360-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINKERT",
        "first_name": "NICOLE",
        "middle_name": "KEMPENICH",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "19681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, MN

Sources for this page

Verify at the official NPI Registry.