Jan Birch, MSW, LICSW
Individual provider Active NPI Clinical Social Worker · Bemidji, MN
NPI 1932811429 · NPPES record last updated Mar 27, 2026
Key facts
- NPI
- 1932811429
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2025004398 (MO)
- Practice address
- 112 1St St W
Bemidji, MN 56601-4002 - Phone
- (218) 888-8032
- Fax
- (218) 888-8033
- NPI assigned
- Dec 16, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nystrom and Associates LTD
Compass Health Inc
Practice addresses (Care Compare)
112 1St St W
Suite 204 205
Bemidji, MN 56601-4002
Phone (218) 888-8032
1800 Community
Clinton, MO 64735-8804
Phone (888) 403-1071
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250311002267 | MO | Practitioner - Clinical Social Worker | 4082135603 | Reassigns benefits to 2 organizations |
| I20260407001213 | MN | Practitioner - Clinical Social Worker | 4082135603 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025004398 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Current |
Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current |
Accepting new patients |
| Compass Health, Inc | Clinical | Current |
Accepting new patients |
| Nystrom & Associates, LTD | Clinical | Current |
Accepting new patients |
Locations
112 1st St W
Ste 204205
Bemidji, MN 56601
Phone (218) 888-8032
112 1st St W
Bemidji, MN 56601
Phone (218) 888-8032
1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718
1800 Community
#B
Clinton, MO 64735
1800 Community
Clinton, MO 64735
Phone (660) 885-8131
3501 Berrywood Dr
Columbia, MO 65201
Phone (573) 874-2851
4625 Lindell Blvd
Ste 200
Saint Louis, MO 63108
Phone (314) 833-8765
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2025004398 | MO | Yes |
Addresses
Primary practice location
112 1St St W
Bemidji, MN 56601-4002
Mailing address
1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789
Phone (651) 628-9566
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000 | Medicaid | MO |
Other providers in Bemidji, MN
- Megan Jo Betters
- Shristi Bhattarai
- Wesley James Bickler
- Binesiikweg, Inc.
- Adam Birch
- Heather Bird
- Mindie Bird
- Sarah Bjornson
- Black Bear Family Dental PC
- Megan June Blaschko
All providers in Bemidji, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.