DOUGLAS ALAN DREW MA, LICSW
NPI 1376534214
Social Worker - Clinical in Blaine, MN

Active since October 31, 2005PECOS EnrolledAccepts Medicare Assignment
10190 BALTIMORE ST NE, SUITE 110, BLAINE, MN 55449(763) 755-7612(763) 775-2048 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas Alan Drew Ma, Licsw NPPES

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

DOUGLAS ALAN DREW MA, LICSW (NPI 1376534214) is an individual clinical provider in Blaine, Minnesota, licensed in Minnesota (7998) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1376534214
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDOUGLAS ALAN DREWCredential: MA, LICSW
Location Address10190 BALTIMORE ST NE, SUITE 110Blaine, MN 55449-5056
Mailing Address14701 Harpers St NeHam Lake, MN 55304-6428 · (763) 413-2829 · Fax (763) 413-5225
Fax(763) 775-2048
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateOctober 31, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1376534214 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 · 7998
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.
10190 BALTIMORE ST NE, Blaine, MN 55449

Other Identifiers 3

Other20-4908451MN · Ein
Medicaid141257400MN
Medicare ID-Type Unspecified800001514MN

Accepted Insurance

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

Douglas Alan Drew Ma, Licsw 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 ID5395793392
PECOS Enrollment IDI20050106000379
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 55449 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.

Other Providers at the Same Location NPPES 17

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

Behavior Technician
10190 BALTIMORE ST NE
BLAINE, MN 55449
Emergency Medicine (Emergency Medical Services)
10190 BALTIMORE ST NE
BLAINE, MN 55449
Behavior Technician
10190 BALTIMORE ST NE
BLAINE, MN 55449
Clinic/Center (Urgent Care)
10190 BALTIMORE ST NE, SUITE 110
BLAINE, MN 55449
Behavior Technician
10190 BALTIMORE ST NE
BLAINE, MN 55449
Clinic/Center (Health Service)
10190 BALTIMORE ST NE, SUITE 100
BLAINE, MN 55449
Behavior Technician
10190 BALTIMORE ST NE
BLAINE, MN 55449
Behavior Technician
10190 BALTIMORE ST NE
BLAINE, MN 55449

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 Douglas Drew's NPI number?

The NPI number for Douglas Drew is 1376534214. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Douglas Drew located?

Douglas Drew practices at 10190 Baltimore St NE Suite 110, Blaine, MN 55449. The listed phone number is (763) 755-7612.

What is Douglas Drew's specialty?

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

Is Douglas Drew enrolled in Medicare?

Yes. Douglas Drew 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.

What insurance does Douglas Drew accept?

Health plans from Providence Health Plan list Douglas Drew as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas Drew 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.