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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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 IDStateProvider typePAC IDDetails
I20170629002920 MN Practitioner - Clinical Social Worker 6406125723 Reassigns benefits to 6 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
P008136NCMDMental Health Counselor
26166MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care Current Accepting new patients
Fairview Health Services Current
since Jun 10, 2017
Accepting new patients
Fairview Health Services Current
since Jun 10, 2017
Accepting new patients
Allina Health System Current
since May 30, 2022
Accepting new patients
Fairview Health Services Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Express Care Current
since Oct 1, 2020
Accepting new patients
Allina Health System Current
since May 30, 2022
Accepting new patients
Healtheast Woodwinds Hospital Current
since Jan 1, 2021
Accepting new patients
Healtheast St. John'S Hospital Current
since Jan 1, 2021
Accepting new patients
Allina Health System Current Accepting new patients
Healtheast Medical Research Institute Clinical Current
since Jan 1, 2021
Accepting new patients
Fairview Express Care Current
since Oct 1, 2020
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

  • Direct secure messaging: svenning581426@excellian.direct.allina.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address svenning581426@excellian.direct.allina.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 30, 2022.

{
    "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

All providers in Maple Grove, MN · Clinical Social Worker in Minnesota

Sources for this page

Verify at the official NPI Registry.