Colette Rose Neron Ellenbecker, LICSW
NPI 1912267287ActiveIndividual· Social Worker, Clinical· Saint Cloud, MN
Social Worker, Clinical (LICSW) with Nystrom and Associates Ltd and 1 other group, practicing in Saint Cloud, Minnesota. Medicare paid $3,716 for services to 25 patients in 2024.
Overview
| NPI | 1912267287 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | May 21, 2012 |
| Last updated in NPPES | May 20, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 10224 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 25 |
|---|---|
| Services billed | 41 across 2 procedure codes |
| Paid by Medicare | $3,716 |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical groups
- Nystrom and Associates LtdBaxter, MN · 590 clinicians
- Family Support Services IncMaple Grove, MN · 10 clinicians
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All 185 clinical social workers in Saint Cloud · All clinical social workers in Minnesota