SAMANTHA NICHOLE MOGEN LICSW
NPI 1942990379
Social Worker in Andover, MN

Active since May 09, 2023PECOS EnrolledAccepts Medicare Assignment
15245 BLUEBIRD ST NW, ANDOVER, MN 55304(763) 587-4200 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2024, Jan 5, 2024, May 9, 2023 (3 updates tracked since 2023).

About Samantha Nichole Mogen Licsw NPPES

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

SAMANTHA NICHOLE MOGEN LICSW (NPI 1942990379) is an individual social worker in Andover, Minnesota, licensed in Minnesota (22141) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1942990379
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSAMANTHA NICHOLE MOGENCredential: LICSW
Location Address15245 BLUEBIRD ST NWAndover, MN 55304-3538
Mailing Address3178 253rd Ave NwIsanti, MN 55040-4321 · (952) 594-5976
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 9, 2023
Last NPPES UpdateApril 11, 20243 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
NPI 1942990379 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 · 22141
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.
15245 BLUEBIRD ST NW, Andover, MN 55304

Secondary Practice Locations 2

Location 12621 Greenhaven RdAnoka, MN 55303-5566 · Phone (763) 587-4488
Location 2530 3rd St NWElk River, MN 55330-1445 · Phone (763) 587-4800

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

Samantha Nichole Mogen 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 ID5496109993
PECOS Enrollment IDI20231003001456
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, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
42 services33 patients

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
15245 BLUEBIRD ST NW
ANDOVER, MN 55304
Family Medicine
15245 BLUEBIRD ST NW, MAIL STOP 39200A RIVERWAY CLINIC - ANDOVER
ANDOVER, MN 55304
Nurse Practitioner
15245 BLUEBIRD ST NW, HEALTHPARTNERS RIVERWAY ANDOVER URGENT CARE
ANDOVER, MN 55304
Physician Assistant
15245 BLUEBIRD ST NW
ANDOVER, MN 55304
Nurse Practitioner
15245 BLUEBIRD ST NW
ANDOVER, MN 55304
Nurse Practitioner
15245 BLUEBIRD ST NW, MAIL STOP 39200A
ANDOVER, MN 55304
Clinic/Center (Multi-Specialty)
15245 BLUEBIRD ST NW
ANDOVER, MN 55304
Pharmacist
15245 BLUEBIRD ST NW
ANDOVER, MN 55304

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 Samantha Mogen's NPI number?

The NPI number for Samantha Mogen is 1942990379. It was assigned to this individual provider in the NPPES registry on May 9, 2023.

Where is Samantha Mogen located?

Samantha Mogen practices at 15245 Bluebird St NW, Andover, MN 55304. The listed phone number is (763) 587-4200.

What is Samantha Mogen's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Samantha Mogen enrolled in Medicare?

Yes. Samantha Mogen 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 Samantha Mogen accept?

Health plans from HealthPartners list Samantha Mogen 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 Samantha Mogen was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.