Active NPI
Bridget Marie Forst, LICSW
- Clinical Social Worker
- Breckenridge, MN
National Provider Identifier
1942914825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 115 5TH St N
Breckenridge, MN 56520-1420 - Phone
- (218) 643-9330
- NPI assigned
- Jan 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
115 5TH St N
Breckenridge, MN 56520-1420
Mailing address
2004 300TH St
Breckenridge, MN 56520-9607
Phone (507) 766-3694
Other names 1
- Bridget Marie Forst
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | http://birchwoodcounseling.com/ | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Ohio State University College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 5TH St N
Breckenridge, MN 56520-1434
Phone (218) 643-9330
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solutions Counseling Services, Inc. | Clinical | Current | Accepting new patients |
Locations
115 5th St N
Breckenridge, MN 56520
Phone (218) 643-9330
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": "1672876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1942914825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 300TH ST",
"city": "BRECKENRIDGE",
"state": "MN",
"postal_code": "565209607",
"telephone_number": "507-766-3694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 5TH ST N",
"city": "BRECKENRIDGE",
"state": "MN",
"postal_code": "565201420",
"telephone_number": "218-643-9330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORST",
"first_name": "BRIDGET",
"middle_name": "MARIE",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-05",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "http://birchwoodcounseling.com/",
"affiliation": "N",
"endpointDescription": "Online Website/Portal",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "115 5th St N",
"city": "Breckenridge",
"state": "MN",
"country_code": "US",
"postal_code": "565201420",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "BRIDGET",
"last_name": "FORST",
"middle_name": "MARIE",
"credential": "LICSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Breckenridge, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.