Individual provider Active NPI

Rondi Lillehaug, MSW LICSW

  • Clinical Social Worker
  • Morris, MN
National Provider Identifier
1982706222
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11490 Issued in MN
Practice address
400 East First Street
Morris, MN 56267-0660
Phone
(320) 589-1313
Fax
(320) 589-3533
NPI assigned
Sep 5, 2006
Last updated
Nov 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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 11490 MN Primary

Addresses

Primary practice location

400 East First Street
Morris, MN 56267-0660

Mailing address

PO Box 660
400 East First Street
Morris, MN 56267-0660
Phone (320) 589-1313

Other identifiers 1

IdentifierTypeStateIssuer
276966200MedicaidMN

Other names 1

  • Rondi Kampmeier Former name

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
I20050718000370 MN Practitioner - Clinical Social Worker 3678509064 Practice locations: Clinton, MN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

126 S 1St St
Clinton, MN 56225-5148
Phone (320) 305-1232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11490MNMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1982706222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660",
            "address_2": "400 EAST FIRST STREET",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562670660",
            "telephone_number": "320-589-1313",
            "fax_number": "320-589-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EAST FIRST STREET",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562670660",
            "telephone_number": "320-589-1313",
            "fax_number": "320-589-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLEHAUG",
        "first_name": "RONDI",
        "credential": "MSW LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "11490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276966200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONDI",
            "last_name": "KAMPMEIER",
            "credential": "MSW LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morris, MN

Sources for this page

Verify at the official NPI Registry.