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
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

Other identifiers 8

IdentifierTypeStateIssuer
309863000OtherMNMN HEALTH CARE PROGRAMS
472358OtherMNVALUE OPTIONS
6262616OtherMNUNITED BEHAVIORAL HEALTH
HP36730OtherMNHEALTHPARTNERS
250597OtherMNMHN
250597OtherMNMANAGED HEALTH NETWORK
263K2SCOtherMNBLUE CROSS/BLUE SHIELD
410958868 0069OtherMNCIGNA

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.

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN HEALTH CARE PROGRAMS",
            "identifier": "309863000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "472358",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "6262616",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP36730",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "250597",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "250597",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "263K2SC",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "410958868 0069",
            "state": "MN"
        }
    ],
    "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.