Joellen Krengel, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16611 Issued in MN

Practice address

513 5TH St SW
Willmar, MN 56201-3216

Phone

(320) 214-9692

Fax

(320) 214-9924

NPI assigned

Oct 19, 2006

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

Other identifiers 3

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, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Open Door Health CenterGroup PAC ID 7012944085, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Open Door Health Center

  • Federally Qualified Health Center (FQHC)
  • Mankato, MN
  • NPI 1891740908
  Medicare reassignment Care Compare group NPD
• Open Door Health Center

  • Federally Qualified Health Center (FQHC)
  • Shakopee, MN
  • NPI 1114446283
  NPD
• Greater Minnesota Family Services

  • Mental Health Counselor
  • Willmar, MN
  • NPI 1609869726
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1962584334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CLEVELAND AVE WEST",
            "city": "WINNEBAGO",
            "state": "MN",
            "postal_code": "56098",
            "telephone_number": "507-525-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 5TH ST SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013216",
            "telephone_number": "320-214-9692",
            "fax_number": "320-214-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRENGEL",
        "first_name": "JOELLEN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHP/UCARE",
            "identifier": "138089",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "58838",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "600K6GR",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassie Renee Kraft, LICSW
• Tabitha Kraft, LPCC
• Roger Kramer
• Allison Krause
• Margretta Kray, RN, CNP
• Tania Jean Krueger, LPCC
• Robert A Kruger, MD
• Steven J Kuchta, PHD
• Stacey Jae Kuhl, LMFT
• Kelly Marie Kveene, L.M.F.T.

• Clinical Social Worker in Willmar, MN
• Providers in Willmar, 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 Jul 9, 2007; 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.