BENNETT BRANDVOLD MSW, LGSW - NPI 1891424735 - Social Worker in New Hope, MN

Q: What is Bennett Brandvold's NPI number?

The NPI number for Bennett Brandvold is 1891424735. It was assigned to this individual provider in the NPPES registry on June 7, 2022.

Q: What is Bennett Brandvold'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 Bennett Brandvold was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

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About Bennett Brandvold Msw, Lgsw NPPES

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

BENNETT BRANDVOLD MSW, LGSW (NPI 1891424735) is an individual social worker in New Hope, Minnesota, licensed in Minnesota (28626) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1891424735

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameBENNETT BRANDVOLDCredential: MSW, LGSW

Location Address4900 HIGHWAY 169 N STE 220New Hope, MN 55428-4058

Mailing Address4900 Highway 169 N Ste 220New Hope, MN 55428-4058 · (612) 517-1577

Phone(612) 517-1577

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 7, 2022

NPPES CertifiedJune 7, 2022

✔ NPI 1891424735 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 · 28626

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.

4900 HIGHWAY 169 N STE 220, New Hope, MN 55428

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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

Bennett Brandvold Msw, Lgsw 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 ID5991219784

PECOS Enrollment IDI20250703002208

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 5

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

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