MARY CARR SLADE LICSW
NPI 1104533520
Social Worker - Clinical in Minneapolis, MN
NPI Status: Active since November 04, 2022
Contact Information
2120 PARK AVE
MINNEAPOLIS, MN
ZIP 55404
Phone: (651) 774-0011
Fax: (651) 774-0606
- Individual
- Female
- Years of Experience 8
- Social Worker
- Clinical
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About MARY SLADE
This page provides the complete NPI Profile along with additional information for Mary Slade, a provider established in Minneapolis, Minnesota with a medical specialization in Social Worker, focusing in clinical and more than 8 years of experience. The healthcare provider is registered in the NPI registry with number 1104533520 assigned on November 2022. The practitioner's primary taxonomy code is 1041C0700X with license number 22057 (MN). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1104533520
- Provider Name
- MARY CARR SLADE LICSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2120 PARK AVE MINNEAPOLIS, MN 55404
- Location Phone
- (651) 774-0011
- Location Fax
- (651) 774-0606
- Mailing Address
- 3000 AMES CROSSING RD STE 600 EAGAN, MN 55121
- Mailing Phone
- (651) 774-0011
- Mailing Fax
- (651) 774-0606
- Medical School Name
- OTHER
- Graduation Year
- 2018
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-04-2022
- Last Update Date
- 08-29-2023
- Code Navigator
A clinical social worker like Mary Slade is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 22057
- License State
- MN
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Mary Slade is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Mary Slade is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7113397746
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20221222002720
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $0 for a new patient copayment and $17.43 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 55404 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is NA
- Average New Patient Price $0
- Minimum New Patient Price $56
- Maximum New Patient Price $168.28
- Average New Patient Copayment $0
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.07
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.74
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $138.04
- Average Established Patient Copayment $17.43
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $34.51
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 1 | 0 | 4 | 5 | 3 | 3 | 5 | 2 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 0 | 4 | 10 | 3 | 6 | 5 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 1 + 0 + 4 + 1 + 0 + 3 + 6 + 5 + 4 + 24 = 50 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1104533520 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1720459001 | HEIDI WESLEY LPN Individual | Licensed Practical Nurse | 2120 PARK AVE MINNEAPOLIS, MN 55404 (612) 872-2051 |
1629514468 | BRANDY SCHEIDECKER Individual | Registered Nurse | 2120 PARK AVE MINNEAPOLIS, MN 55404 (612) 872-2050 |
1255861464 | DANIEL DAHLBERG Individual | Registered Nurse | 2120 PARK AVE MINNEAPOLIS, MN 55404 (651) 363-2233 |
1528583044 | CLARA HUELSNITZ RN Individual | Registered Nurse | 2120 PARK AVE MINNEAPOLIS, MN 55404 (612) 465-0105 |
1285997528 | MR. GEBREMARIAM ALEM GEBREMICAEL Individual | Social Worker | 2120 PARK AVE MINNEAPOLIS, MN 55404 (612) 872-2000 |
1275890980 | ANNMARIE KAY FLOREST LICSW Individual | Social Worker (Clinical) | 2120 PARK AVE MINNEAPOLIS, MN 55404 (612) 872-2000 |
1104974674 | SUSAN MARIE HOISINGTON PSY.D. Individual | Psychologist (Addiction (Substance Use Disorder)) | 2120 PARK AVE MINNEAPOLIS, MN 55404 (612) 872-2000 |
1013334010 | KARLY PORTO Individual | Counselor (Professional) | 2120 PARK AVE MINNEAPOLIS, MN 55404 (612) 872-2000 |
1447739552 | ANGELA RAE STUDT LPCC, LADC Individual | Counselor (Professional) | 2120 PARK AVE MINNEAPOLIS, MN 55404 (612) 872-2050 |
1508387119 | KIA LEE MSW, MBA, LICSW Individual | Social Worker (Clinical) | 2120 PARK AVE MINNEAPOLIS, MN 55404 (612) 872-2000 |
1871089482 | BRENDEN MCGIBBON LICSW Individual | Social Worker (Clinical) | 2120 PARK AVE MINNEAPOLIS, MN 55404 (612) 872-2000 |
1558931840 | JOELLE BELLOWS MSW, LICSW Individual | Social Worker (Clinical) | 2120 PARK AVE MINNEAPOLIS, MN 55404 (651) 774-0011 |
1639821671 | MISS JASMYN ANITA CHARMICE TAYLOR MSW, LGSW Individual | Social Worker (Clinical) | 2120 PARK AVE MINNEAPOLIS, MN 55404 (763) 328-6326 |
1235569831 | PEOPLE INCORPORATED Organization | Community/Behavioral Health | 2120 PARK AVE MINNEAPOLIS, MN 55404 (612) 872-2000 |
1619095700 | PEOPLE INCORPORATED Organization | Community/Behavioral Health | 2120 PARK AVE MINNEAPOLIS, MN 55404 (612) 287-2050 |
1144698127 | JESSICA MAY HILL LICSW Individual | Social Worker (Clinical) | 2120 PARK AVE MINNEAPOLIS, MN 55404 (651) 774-0011 |
1215998166 | DR. MARGUERITE VASSHTI BUTLER PH.D., L.P. Individual | Psychologist (Clinical) | 2120 PARK AVE MINNEAPOLIS, MN 55404 (651) 774-0011 |
1396304655 | MS. DANA IRENE TWEIT MSW LICSW Individual | Social Worker (Clinical) | 2120 PARK AVE MINNEAPOLIS, MN 55404 (651) 774-0011 |
1407348261 | AMBER JOELL RUTH LICSW Individual | Social Worker (Clinical) | 2120 PARK AVE MINNEAPOLIS, MN 55404 (651) 774-0011 |
1457775330 | MRS. MELODY DYBEDAHL Individual | Social Worker (Clinical) | 2120 PARK AVE MINNEAPOLIS, MN 55404 (612) 872-2000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104533520, enumerated in the NPI registry as an "individual" on November 04, 2022
The provider is located at 2120 Park Ave Minneapolis, Mn 55404 and the phone number is (651) 774-0011
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider has more than 8 years of experience.
The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $69.74 and an average copayment of 17.43. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on November 04, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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