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MS. SALLY RENEE VANERSTROM L.I.C.S.W.
NPI 1114065810
Social Worker - Clinical in Saint Paul, MN

Active since February 02, 2007PECOS EnrolledAccepts Medicare Assignment
1919 UNIVERSITY AVE W STE 100, SAINT PAUL, MN 55104(651) 266-7900(651) 266-7855 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Sally Renee Vanerstrom L.i.c.s.w. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SALLY RENEE VANERSTROM L.I.C.S.W. (NPI 1114065810) is an individual clinical provider in Saint Paul, Minnesota, licensed in Minnesota (16268) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1114065810
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SALLY RENEE VANERSTROMCredential: L.I.C.S.W.
Location Address1919 UNIVERSITY AVE W STE 100Saint Paul, MN 55104-3479
Mailing Address1919 University Ave W Ste 100Saint Paul, MN 55104-3479 · (651) 266-7900 · Fax (651) 266-7855
Phone(651) 266-7900
Fax(651) 266-7855
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateFebruary 2, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114065810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 16268
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1919 UNIVERSITY AVE W STE 100, Saint Paul, MN 55104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Sally Renee Vanerstrom L.i.c.s.w. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002111564
PECOS Enrollment IDI20200207000583
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sally Vanerstrom's NPI number?

The NPI number for Sally Vanerstrom is 1114065810. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Sally Vanerstrom located?

Sally Vanerstrom practices at 1919 University Ave W Ste 100, Saint Paul, MN 55104. The listed phone number is (651) 266-7900.

What is Sally Vanerstrom's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sally Vanerstrom enrolled in Medicare?

Yes. Sally Vanerstrom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sally Vanerstrom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.