SUSAN J BOLLINGER-BROWN MSSW, LICSW, LCSW-C
NPI 1265500755
Social Worker - Clinical in Saint Paul, MN
About Susan J Bollinger-brown Mssw, Licsw, Lcsw-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN J BOLLINGER-BROWN MSSW, LICSW, LCSW-C (NPI 1265500755) is an individual clinical provider in Saint Paul, Minnesota, licensed in Minnesota (13061) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (1993).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Susan J Bollinger-brown Mssw, Licsw, Lcsw-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Susan Bollinger-brown reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Paul, MN 55102
- Reassigned Medicare billing, Minnesota enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Susan Bollinger-brown's NPI number?
The NPI number for Susan Bollinger-brown is 1265500755. It was assigned to this individual provider in the NPPES registry on December 1, 2006.
Where is Susan Bollinger-brown located?
Susan Bollinger-brown practices at 1684 Selby Ave, Saint Paul, MN 55104. The listed phone number is (651) 206-8955.
What is Susan Bollinger-brown's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Susan Bollinger-brown enrolled in Medicare?
Yes. Susan Bollinger-brown 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.
Which organization bills Medicare for Susan Bollinger-brown's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Bollinger-brown reassigns Medicare benefits to Free Bird Counseling And Consultation LLC (Saint Paul, 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 Susan Bollinger-brown'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 Susan Bollinger-brown was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Susan J Bollinger-Brown, MSSW, LICSW, LCSW-C · NPI 1265500755
Clinical provider in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since December 1, 2006.
## Identity
- **NPI:** 1265500755 (Entity type: Individual)
- **Enumerated:** December 1, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 13061 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1684 SELBY AVE, Saint Paul, MN 55104-6149
- **Phone:** (651) 206-8955 · **Fax:** (651) 389-9397
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Free Bird Counseling And Consultation LLC (NPI 1194127456, Saint Paul, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Wisconsin School Of Medicine, class of 1993
## Record status
- **NPPES last updated:** April 4, 2025
- **Other identifiers:** Medicaid 1265500755 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1265500755) · Data from the CMS NPPES public registry.