Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ori Wasserburg

Individual provider Clinical Social Worker · NPI 1841974375

Ori Wasserburg is a Clinical Social Worker in Saint Paul, Minnesota. Qualified in 2019, 7 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2550 University Ave W Ste 216S
Saint Paul, MN 55114-1916
Phone: (952) 993-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6625 Lyndale Ave S Ste 440, Richfield, MN 55423-2380 — (612) 704-7355

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 28308 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 28308 (MN)

Record details

NPI number1841974375
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 14, 2023
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Saint Paul