MICHELLE R. MANDELL-PAULSON LICSW
NPI 1912425158
Social Worker - Clinical in Champlin, MN

Q: What is Michelle Mandell-paulson's NPI number?

The NPI number for Michelle Mandell-paulson is 1912425158. It was assigned to this individual provider in the NPPES registry on September 8, 2017.

Q: What is Michelle Mandell-paulson's specialty?

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

Active since September 08, 2017PECOS Enrolled

11165 ZEALAND AVE N, CHAMPLIN, MN 55316(763) 531-0566 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 13, 2025, Jul 21, 2022, Mar 1, 2018 (3 updates tracked since 2018).

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About Michelle R. Mandell-paulson Licsw NPPES

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

MICHELLE R. MANDELL-PAULSON LICSW (NPI 1912425158) is an individual clinical provider in Champlin, Minnesota, licensed in Minnesota (13758) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1912425158

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMICHELLE R. MANDELL-PAULSONCredential: LICSW

Location Address11165 ZEALAND AVE NChamplin, MN 55316-3595

Mailing Address11165 Zealand Ave NChamplin, MN 55316-3595 · (763) 531-0566 · Fax (763) 531-0602

Phone(763) 531-0566

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateSeptember 8, 2017

Last NPPES UpdateFebruary 13, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2025

✔ NPI 1912425158 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 · 13758

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.

11165 ZEALAND AVE N, Champlin, MN 55316

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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle R. Mandell-paulson Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608268677

PECOS Enrollment IDI20220125001495

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.

Medicare Billing Reassignments

Medicare enrollment records show Michelle Mandell-paulson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Therapy And Wellness PA

Same address

Mental Health (Including Community Mental Health Center)

11165 ZEALAND AVE N
Champlin, MN 55316

Reassigned Medicare billing, Minnesota enrollment
5 clinicians in this Medicare group

NPI 1265462212 (763) 531-0566

Lake And Valley Family Therapy LLC

19 mi

Marriage & Family Therapist

2179 4TH ST STE 2F
White Bear Lake, MN 55110

Reassigned Medicare billing, Minnesota enrollment
10 clinicians in this Medicare group

NPI 1578262333 (651) 360-1995

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55316 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 5

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

DR. YASMINE MOIDEEN PHD, LP

Psychologist (Clinical)