NPIMap

Organization Active NPI

Evolving Woman Enterprises, Inc.

  • Clinical Social Worker
  • Edina, MN
National Provider Identifier
1013099191
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
778 Issued in MN
Legal business name
EVOLVING WOMAN ENTERPRISES, INC.
Practice address
7300 Metro Blvd
Suite 455
Edina, MN 55439-2328
Phone
(952) 835-1616
Fax
(952) 835-6182
NPI assigned
Oct 19, 2006
Last updated
Nov 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Gina Rachel Schuchman, M.S.W.NPI 1114014016
Title
Owner
Phone
(952) 835-1616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 778 MN Primary

Addresses

Primary practice location

7300 Metro Blvd
Suite 455
Edina, MN 55439-2328

Mailing address

7300 Metro Blvd
Suite 455
Edina, MN 55439-2303
Phone (952) 835-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080425000043 MN Part B Supplier - Clinic/Group Practice 0143308502 Receives reassigned benefits from 7 practitioners
Practice locations: Edina, MN

National Provider Directory

National Provider Directory

Locations

7300 Metro Blvd
Ste 455
Edina, MN 55439
Phone (952) 835-1616

7400 Metro Blvd
Ste 211
Minneapolis, MN 55439
Phone (952) 835-1616

970 Raymond Ave
Ste G60
Saint Paul, MN 55114

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1013099191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 METRO BLVD",
            "address_2": "SUITE 455",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392303",
            "telephone_number": "952-835-1616",
            "fax_number": "952-835-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 METRO BLVD",
            "address_2": "SUITE 455",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392328",
            "telephone_number": "952-835-1616",
            "fax_number": "952-835-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVING WOMAN ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "SCHUCHMAN",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-835-1616",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.