JOHN R STILLMAN LICSW
NPI 1710920608
Social Worker - Clinical in Minneapolis, MN

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
2809 WAYZATA BLVD, MINNEAPOLIS, MN 55405(612) 377-9190(612) 374-4498 Get Directions Write a Review

NPPES record last updated: August 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John R Stillman Licsw NPPES

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

JOHN R STILLMAN LICSW (NPI 1710920608) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (12770) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1710920608
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJOHN R STILLMANCredential: LICSW
Location Address2809 WAYZATA BLVDMinneapolis, MN 55405-2131
Mailing Address2809 Wayzata BlvdMinneapolis, MN 55405-2131 · (612) 377-9190 · Fax (612) 374-4498
Fax(612) 374-4498
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJune 14, 2006
Last NPPES UpdateAugust 28, 2008
NPI 1710920608 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 · 12770
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.
2809 WAYZATA BLVD, Minneapolis, MN 55405

Other Identifiers 2

Medicare PIN800001461MN
Medicaid467821400MN

Accepted 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

John R Stillman 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 ID8729066030
PECOS Enrollment IDI20040713000385
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.
166 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55405 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 11

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

Marriage & Family Therapist
2809 WAYZATA BLVD
MINNEAPOLIS, MN 55405
Marriage & Family Therapist
2809 WAYZATA BLVD
MINNEAPOLIS, MN 55405
Marriage & Family Therapist
2809 WAYZATA BLVD
MINNEAPOLIS, MN 55405
Counselor (Mental Health)
2809 WAYZATA BLVD
MINNEAPOLIS, MN 55405
Social Worker (Clinical)
2809 WAYZATA BLVD
MINNEAPOLIS, MN 55405
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2809 WAYZATA BLVD
MINNEAPOLIS, MN 55405
Psychologist (Counseling)
2809 WAYZATA BLVD
MINNEAPOLIS, MN 55405
Counselor (Mental Health)
2809 WAYZATA BLVD
MINNEAPOLIS, MN 55405

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 John Stillman's NPI number?

The NPI number for John Stillman is 1710920608. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is John Stillman located?

John Stillman practices at 2809 Wayzata Blvd, Minneapolis, MN 55405. The listed phone number is (612) 377-9190.

What is John Stillman's specialty?

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

Is John Stillman enrolled in Medicare?

Yes. John Stillman 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 John Stillman accept?

Health plans from HealthPartners list John Stillman 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 John Stillman was last updated on August 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.