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LORI JILL CHARBONNEAU LICSW
NPI 1700074341
Social Worker - Clinical in Mandan, ND

Active since October 09, 2007PECOS EnrolledAccepts Medicare Assignment
2401 46TH AVE SE STE 201, MANDAN, ND 58554(701) 699-4052(701) 989-7030 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2022, Jun 8, 2022, Sep 4, 2020 (3 updates tracked since 2020).

About Lori Jill Charbonneau Licsw NPPES

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

LORI JILL CHARBONNEAU LICSW (NPI 1700074341) is an individual clinical provider in Mandan, North Dakota, licensed in North Dakota (1526) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1700074341
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLORI JILL CHARBONNEAUCredential: LICSW
Location Address2401 46TH AVE SE STE 201Mandan, ND 58554-4829
Mailing Address3425 Heartwood Cir SeMandan, ND 58554-6245 · (701) 871-0490
Phone(701) 699-4052
Fax(701) 989-7030
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateOctober 9, 2007
Last NPPES UpdateSeptember 12, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2022
✔ NPI 1700074341 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 ND · 1526
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.
2401 46TH AVE SE STE 201, Mandan, ND 58554
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Other Identifiers 2

Other024385ND · Blue Cross Blue Shield
Medicaid054517ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.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

Lori Jill Charbonneau 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 ID8325135932
PECOS Enrollment IDI20071030000102
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
183 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58554 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 $55.75 – $168.12
Typical copayment $0.00 (range $13.93 – $42.03)
Most-billed visit code NA
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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 2

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

STEPHANIE MACDONALD FNP-C
Nurse Practitioner (Psychiatric/Mental Health)
2401 46TH AVE SE STE 201
MANDAN, ND 58554
Morton County (701) 699-4052
TRANSITIONS HEALTHCARE PLLC
Clinic/Center
2401 46TH AVE SE STE 201
MANDAN, ND 58554
Morton County (701) 699-4052

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 Lori Charbonneau's NPI number?

The NPI number for Lori Charbonneau is 1700074341. It was assigned to this individual provider in the NPPES registry on October 9, 2007.

Where is Lori Charbonneau located?

Lori Charbonneau practices at 2401 46th Ave SE Ste 201, Mandan, ND 58554. The listed phone number is (701) 699-4052.

What is Lori Charbonneau's specialty?

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

Is Lori Charbonneau enrolled in Medicare?

Yes. Lori Charbonneau 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 Lori Charbonneau accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Lori Charbonneau 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 Lori Charbonneau was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.