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SIGURD HALLER LICSW
NPI 1629494174
Social Worker - Clinical in Duluth, MN

Active since March 07, 2014PECOS Enrolled
615 PECAN AVE, DULUTH, MN 55811(218) 355-2100 Get Directions Write a Review

NPPES record last updated: October 25, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sigurd Haller Licsw NPPES

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

SIGURD HALLER LICSW (NPI 1629494174) is an individual clinical provider in Duluth, Minnesota, licensed in Minnesota (21182) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629494174
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameSIGURD HALLERCredential: LICSW
Location Address615 PECAN AVEDuluth, MN 55811-2749
Mailing Address1702 University Dr SFargo, ND 58103-4940
Phone(218) 355-2100
Sole ProprietorNo
Enumeration DateMarch 7, 2014
Last NPPES UpdateOctober 25, 2019
✔ NPI 1629494174 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 · 21182
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.
615 PECAN AVE, Duluth, MN 55811
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sigurd Haller Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Sigurd Haller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Smdc Medical Center
Same address
Adolescent and Children Mental Health
615 PECAN AVE
Duluth, MN 55811
  • Reassigned Medicare billing, Minnesota enrollment
  • 31 clinicians in this Medicare group
NPI 1235488438 (218) 355-2100
The Duluth Clinic, Ltd
1.2 mi
Multi-Specialty
400 E 3RD ST
Duluth, MN 55805
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,460 clinicians in this Medicare group
NPI 1245278209 (218) 786-8364

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 55811 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 10

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

JOSHUA CAHILL BUCK LGSW
Social Worker (Clinical)
615 PECAN AVE
DULUTH, MN 55811
St. Louis County (218) 355-2100
BENJAMIN DOUGLAS HUSTEDT LICSW
Social Worker (Clinical)
615 PECAN AVE
DULUTH, MN 55811
St. Louis County (218) 355-2100
SMDC MEDICAL CENTER
Clinic/Center (Adolescent and Children Mental Health)
615 PECAN AVE
DULUTH, MN 55811
St. Louis County (218) 355-2100
MS. JESSICA MARIE PODPESKAR LICSW
Social Worker
615 PECAN AVE
DULUTH, MN 55811
St. Louis County (218) 355-2100
MS. AMANDA BETH BAUMGARTNER LICSW
Social Worker (Clinical)
615 PECAN AVE
DULUTH, MN 55811
St. Louis County (218) 355-2100
EILEEN HUGGINS LICSW
Social Worker (Clinical)
615 PECAN AVE
DULUTH, MN 55811
St. Louis County (218) 355-2100
ALYSSA DYE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
615 PECAN AVE
DULUTH, MN 55811
St. Louis County (218) 355-2100
MARY SOULE GEIDNER LICSW
Social Worker (Clinical)
615 PECAN AVE
DULUTH, MN 55811
St. Louis County (218) 355-2100

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 Sigurd Haller's NPI number?

The NPI number for Sigurd Haller is 1629494174. It was assigned to this individual provider in the NPPES registry on March 7, 2014.

Where is Sigurd Haller located?

Sigurd Haller practices at 615 Pecan Ave, Duluth, MN 55811. The listed phone number is (218) 355-2100.

What is Sigurd Haller's specialty?

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

Is Sigurd Haller enrolled in Medicare?

Yes. Sigurd Haller is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sigurd Haller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sigurd Haller reassigns Medicare benefits to 2 organizations: Smdc Medical Center (Duluth, MN) and The Duluth Clinic, Ltd (Duluth, MN). Each 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 Sigurd Haller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sigurd Haller accept?

Health plans from Anthem Blue Cross and Blue Shield and Sanford Health Plan list Sigurd Haller 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 Sigurd Haller was last updated on October 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.