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SERENE EIDEM
NPI 1144150434
Social Worker in Forest Lake, MN

Active since May 20, 2026PECOS Enrolled
1068 LAKE ST S STE 109, FOREST LAKE, MN 55025(651) 982-4792(651) 982-6035 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Serene Eidem NPPES

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

SERENE EIDEM (NPI 1144150434) is an individual social worker in Forest Lake, Minnesota, licensed in Minnesota (32549) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1144150434
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSERENE EIDEM
Location Address1068 LAKE ST S STE 109Forest Lake, MN 55025-2633
Mailing Address1906 Iglehart AveSaint Paul, MN 55104-5139 · (651) 313-1898
Phone(651) 982-4792
Fax(651) 982-6035
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 20, 2026
NPPES CertifiedMay 20, 2026
✔ NPI 1144150434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MN · 32549
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1068 LAKE ST S STE 109, Forest Lake, MN 55025
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Serene Eidem is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709346620
PECOS Enrollment IDI20260901000115
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.

Medicare Billing Reassignment

Medicare enrollment records show Serene Eidem reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bridges And Pathways Counseling Services Inc.
Same address
Clinical
1068 LAKE ST S, SUUITE 109
Forest Lake, MN 55025
  • Reassigned Medicare billing, Minnesota enrollment
  • 18 clinicians in this Medicare group
NPI 1801929914 (651) 982-4792

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEIDI MARIE SPETZMAN LAMFT
Counselor (Mental Health)
1068 LAKE ST S STE 109
FOREST LAKE, MN 55025
Washington County (651) 982-4792
SUSAN MARIE HOISINGTON PSY.D.
Psychologist (Addiction (Substance Use Disorder))
1068 LAKE ST S STE 109
FOREST LAKE, MN 55025
Washington County (651) 982-4792
REBECCA A ZABINSKI MA, LPCC
Counselor (Professional)
1068 LAKE ST S STE 109
FOREST LAKE, MN 55025
Washington County (612) 655-5642
STEPHANIE L TSCHIDA LMFT
Marriage & Family Therapist
1068 LAKE ST S STE 109
FOREST LAKE, MN 55025
Washington County (651) 829-6608
SUSAN HOISINGTON COUNSELING LLC
Psychologist
1068 LAKE ST S STE 109
FOREST LAKE, MN 55025
Washington County (612) 597-3133
MS. SHERI LEE DELAMBO MA, LADC, LPCC
Counselor (Professional)
1068 LAKE ST S STE 109
FOREST LAKE, MN 55025
Washington County (651) 982-4792
PAUL MLADNICK CONSULTING LLC
Marriage & Family Therapist
1068 LAKE ST S STE 109
FOREST LAKE, MN 55025
Washington County (651) 982-4792
CATHERINE MARINCEL-ROBB LICSW
Social Worker (Clinical)
1068 LAKE ST S STE 109
FOREST LAKE, MN 55025
Washington County (651) 982-4792

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 Serene Eidem's NPI number?

The NPI number for Serene Eidem is 1144150434. It was assigned to this individual provider in the NPPES registry on May 20, 2026.

Where is Serene Eidem located?

Serene Eidem practices at 1068 Lake St S Ste 109, Forest Lake, MN 55025. The listed phone number is (651) 982-4792.

What is Serene Eidem's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Serene Eidem enrolled in Medicare?

Yes. Serene Eidem is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Serene Eidem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Serene Eidem reassigns Medicare benefits to Bridges And Pathways Counseling Services Inc. (Forest Lake, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Serene Eidem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Serene Eidem was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.