Dayne Marcus Bartlett, MSW, LICSW, LADC
NPI 1457950503ActiveIndividual· Social Worker, Clinical· Northfield, MN
Social Worker, Clinical (MSW, LICSW, LADC) in Northfield, Minnesota, licensed in MN, with an NPI issued in October 2020. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1457950503 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW, LICSW, LADC |
| Sole proprietor | Yes |
| NPI issued | Oct 20, 2020 |
| Last updated in NPPES | Jul 19, 2024 |
| Certified by provider | Jul 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 26497 | MN |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 304138 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN) |
|---|
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