Individual provider Active NPI

Bernadette J Pospeck, MSW, LICSW

  • Clinical Social Worker
  • Hibbing, MN
National Provider Identifier
1922855477
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2118221 Issued in MN
Practice address
2602 1St Ave
Hibbing, MN 55746-2245
Phone
(218) 263-5949
Fax
(218) 263-3771
NPI assigned
May 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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 2118221 MN Primary

Addresses

Primary practice location

2602 1St Ave
Hibbing, MN 55746-2245

Mailing address

2602 1St Ave
Hibbing, MN 55746-2245
Phone (218) 404-0050

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
I20240725003453 MN Practitioner - Clinical Social Worker 3072059021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kind Mind Counseling CenterGroup PAC ID 8123283223, 2 clinicians

Practice addresses (Care Compare)

2602 1St Ave
Hibbing, MN 55746-2245
Phone (218) 263-5949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2118221MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Calla CurrentSince Apr 26, 2024 Accepting new patients
Kind Mind Counseling Center CurrentSince Apr 26, 2024 Accepting new patients

Locations

2602 1st Ave
Hibbing, MN 55746
Phone (218) 203-5949

1200 E 25th St
Hibbing, MN 55746
Phone (218) 312-3002

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": "1714608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1922855477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 1ST AVE",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462245",
            "telephone_number": "218-404-0050",
            "fax_number": "218-263-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 1ST AVE",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462245",
            "telephone_number": "218-263-5949",
            "fax_number": "218-263-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSPECK",
        "first_name": "BERNADETTE",
        "middle_name": "J",
        "credential": "MSW,  LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "2118221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hibbing, MN

Sources for this page

Verify at the official NPI Registry.