1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Social Worker
  6. NPI Profile

MASON RUSSELL NORDMAN LICSW
NPI 1679235899
Social Worker in Minneapolis, MN

Active since October 06, 2021PECOS Enrolled
621 W LAKE ST STE 350, MINNEAPOLIS, MN 55408(612) 979-2276(651) 925-0427 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mason Russell Nordman Licsw NPPES

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

MASON RUSSELL NORDMAN LICSW (NPI 1679235899) is an individual social worker in Minneapolis, Minnesota, licensed in Minnesota (29338) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679235899
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMASON RUSSELL NORDMANCredential: LICSW
Location Address621 W LAKE ST STE 350Minneapolis, MN 55408-2952
Mailing Address621 W Lake St Ste 350Minneapolis, MN 55408-2952 · (612) 979-2276 · Fax (651) 925-0427
Phone(612) 979-2276
Fax(651) 925-0427
Sole ProprietorNo
Enumeration DateOctober 6, 2021
Last NPPES UpdateOctober 3, 2025
NPPES CertifiedOctober 3, 2025
✔ NPI 1679235899 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 · 29338
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.
621 W LAKE ST STE 350, Minneapolis, MN 55408
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mason Russell Nordman 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 Mason Nordman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lyn-Lake Psychotherapy And Wellness Ltd.
Same address
Clinical
621 W LAKE ST STE 350
Minneapolis, MN 55408
  • Reassigned Medicare billing, Minnesota enrollment
  • 152 clinicians in this Medicare group
NPI 1609355163 (612) 979-2276
Plymouth Psych Group, LLC
9.8 mi
Mental Health
3021 HARBOR LN N, SUITE 206
Plymouth, MN 55447
  • Reassigned Medicare billing, Minnesota enrollment
  • 25 clinicians in this Medicare group
NPI 1003195942 (651) 271-9005

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 20

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

LISA HOLLIDAY LICSW
Social Worker (Clinical)
621 W LAKE ST STE 350
MINNEAPOLIS, MN 55408
Hennepin County (612) 888-5305
CHERYL M TROXEL LMFT
Marriage & Family Therapist
621 W LAKE ST STE 350
MINNEAPOLIS, MN 55408
Hennepin County (612) 547-9990
CHARLOTTE MORGAN MSW, LICSW
Social Worker (Clinical)
621 W LAKE ST STE 350
MINNEAPOLIS, MN 55408
Hennepin County (612) 979-2276
AMY BEADLE
Counselor (Mental Health)
621 W LAKE ST STE 350
MINNEAPOLIS, MN 55408
Hennepin County (612) 979-2276
ERIKA KEATON
Counselor (Mental Health)
621 W LAKE ST STE 350
MINNEAPOLIS, MN 55408
Hennepin County (612) 979-2276
JENNA MCDOUGALL R.D.N., L.D.
Dietitian, Registered
621 W LAKE ST STE 350
MINNEAPOLIS, MN 55408
Hennepin County (651) 983-4391
TARA LEBARON LPCC
Counselor (Mental Health)
621 W LAKE ST STE 350
MINNEAPOLIS, MN 55408
Hennepin County (612) 979-2276
JEAN RIVARD LICSW
Social Worker (Clinical)
621 W LAKE ST STE 350
MINNEAPOLIS, MN 55408
Hennepin County (612) 979-2276

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 Mason Nordman's NPI number?

The NPI number for Mason Nordman is 1679235899. It was assigned to this individual provider in the NPPES registry on October 6, 2021.

Where is Mason Nordman located?

Mason Nordman practices at 621 W Lake St Ste 350, Minneapolis, MN 55408. The listed phone number is (612) 979-2276.

What is Mason Nordman's specialty?

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

Is Mason Nordman enrolled in Medicare?

Yes. Mason Nordman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mason Nordman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mason Nordman reassigns Medicare benefits to 2 organizations: Lyn-Lake Psychotherapy And Wellness Ltd. (Minneapolis, MN) and Plymouth Psych Group, LLC (Plymouth, 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 Mason Nordman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mason Nordman accept?

Health plans from HealthPartners list Mason Nordman 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 Mason Nordman was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.