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

Q: 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.

Q: What is Mason Nordman's specialty?

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

Q: 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 10 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.

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: August 02, 2026.

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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

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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)