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VICKI J SERUM MA, LICSW
NPI 1831149145
Social Worker - Clinical in Baxter, MN

Active since May 10, 2006PECOS Enrolled
13073 EVERGREEN DR, BAXTER, MN 56425(218) 851-3813(218) 824-9507 Get Directions Write a Review

NPPES record last updated: October 30, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vicki J Serum Ma, Licsw NPPES

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

VICKI J SERUM MA, LICSW (NPI 1831149145) is an individual clinical provider in Baxter, Minnesota, licensed in Minnesota (6699LICSW) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831149145
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameVICKI J SERUMCredential: MA, LICSW
Location Address13073 EVERGREEN DRBaxter, MN 56425-7443
Mailing Address7352 Ojibwa RdBrainerd, MN 56401-7039 · (218) 963-2670
Phone(218) 851-3813
Fax(218) 824-9507
Sole ProprietorYes
Enumeration DateMay 10, 2006
Last NPPES UpdateOctober 30, 2007
✔ NPI 1831149145 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 · 6699LICSW
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.
13073 EVERGREEN DR, Baxter, MN 56425
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vicki J Serum Ma, 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56425 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.

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 Vicki Serum's NPI number?

The NPI number for Vicki Serum is 1831149145. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Vicki Serum located?

Vicki Serum practices at 13073 Evergreen Dr, Baxter, MN 56425. The listed phone number is (218) 851-3813.

What is Vicki Serum's specialty?

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

Is Vicki Serum enrolled in Medicare?

Yes. Vicki Serum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vicki Serum was last updated on October 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.