CHRISTOPHER FENNEMA MSW, LICSW
NPI 1689246076
Social Worker - Clinical in Brainerd, MN

Q: What is Christopher Fennema's NPI number?

The NPI number for Christopher Fennema is 1689246076. It was assigned to this individual provider in the NPPES registry on July 14, 2021.

Q: What is Christopher Fennema's specialty?

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

Active since July 14, 2021PECOS EnrolledAccepts Medicare Assignment

520 NW 5TH ST, BRAINERD, MN 56401(188) 293-2352(218) 829-1368 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 8, 2023, Jul 14, 2021 (2 updates tracked since 2021).

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About Christopher Fennema Msw, Licsw NPPES

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

CHRISTOPHER FENNEMA MSW, LICSW (NPI 1689246076) is an individual clinical provider in Brainerd, Minnesota, licensed in Minnesota (25627) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1689246076

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameCHRISTOPHER FENNEMACredential: MSW, LICSW

Location Address520 NW 5TH STBrainerd, MN 56401-2902

Mailing Address520 Nw 5th StBrainerd, MN 56401-2902 · (182) 821-1412

Phone(188) 293-2352

Fax(218) 829-1368

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 14, 2021

Last NPPES UpdateNovember 8, 20232 updates tracked since enumeration

NPPES CertifiedNovember 8, 2023

✔ NPI 1689246076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MN · 25627

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.

Also ListedSocial WorkerTaxonomy 104100000X · License 25627 (MN)

520 NW 5TH ST, Brainerd, MN 56401

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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 and accepts Medicare assignment

Christopher Fennema Msw, 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 ID7214386457

PECOS Enrollment IDI20231213000497

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 56401 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.

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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.

DONN C BEAUBIEN MSW, LICSW

Social Worker (Clinical)