Sarah Nicole Olson Venning, LICSW
Individual provider Active NPI Clinical Social Worker · Maple Grove, MN
NPI 1003255472 · NPPES record last updated Jun 30, 2022
Key facts
- NPI
- 1003255472
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 26166 (MN)
- Practice address
- 14500 99TH Ave N
Maple Grove, MN 55369-4730 - Phone
- (651) 600-0342
- NPI assigned
- Jun 19, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170629002920 | MN | Practitioner - Clinical Social Worker | 6406125723 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P008136 | NC | MD | Mental Health Counselor |
| 26166 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Health Services | Current |
Accepting new patients | |
| Fairview Health Services | Current |
Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Express Care | Current |
Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Healtheast Woodwinds Hospital | Current |
Accepting new patients | |
| Healtheast St. John'S Hospital | Current |
Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Clinical | Current |
Accepting new patients |
| Fairview Express Care | Current |
Accepting new patients |
Locations
14500 99th Ave N
Maple Grove, MN 55369
Phone (763) 898-1000
14500 99th Ave N
Ste 210
Maple Grove, MN 55369
Phone (763) 898-1770
800 E 28th St
Fl 6
Minneapolis, MN 55407
Phone (612) 863-5327
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
400 Stinson Blvd
Minneapolis, MN 55413
Phone (612) 672-2258
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100
Interoperability endpoints
- svenning581426@excellian.direct.allina.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P008136 | NC | |
| Clinical Social Worker | 1041C0700X | 26166 | MN | Yes |
Addresses
Primary practice location
14500 99TH Ave N
Maple Grove, MN 55369-4730
Mailing address
14500 99TH Ave N
Maple Grove, MN 55369-4730
Other practice location 1
800 E 28th St Fl 6
Minneapolis, MN 55407-3723
Phone (612) 863-5327
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | svenning581426@excellian.direct.allina.com | Direct |
NPI Registry JSON
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1003255472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14500 99TH AVE N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14500 99TH AVE N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694730",
"telephone_number": "651-600-0342"
}
],
"practiceLocations": [
{
"address_1": "800 E 28th St Fl 6",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554073723",
"country_code": "US",
"telephone_number": "612-863-5327",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VENNING",
"first_name": "SARAH",
"middle_name": "NICOLE OLSON",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-19",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "P008136",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "26166",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "svenning581426@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "800 E 28th St Fl 6",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554073723",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Maple Grove, MN
- Oceana Kalia Vang
- Shena Vang
- Jennifer Michelle Vanhorn
- Vanessa Vasquez Cerrito
- Venetia Laganis, DDS, PA
- Alissa S Ventura
- Tanner Jesus Verduzco
- Johanna Maria Viau Colindres
- Jacqueline Luna Vior
- Lorilee Virnig
All providers in Maple Grove, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.