Individual provider Active NPI

Anne Weerasinghe, LICSW

  • Clinical Social Worker
  • Edina, MN
National Provider Identifier
1013291194
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19777 Issued in MN
Practice address
6804 Iroquois Cir
Edina, MN 55439-1014
Phone
(612) 564-9772
Fax
(612) 225-1854
NPI assigned
Oct 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 19777 MN Primary

Addresses

Primary practice location

6804 Iroquois Cir
Edina, MN 55439-1014

Mailing address

6804 Iroquois Cir
Edina, MN 55439-1014
Phone (126) 564-9772

Other practice location 1

7066 Stillwater Blvd N
Oakdale, MN 55128-3937
Phone (651) 251-5073

Other names 1

  • Anne Shibilski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120515000679 MN Practitioner - Clinical Social Worker 1254594013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orka Health and Wellness PLLCGroup PAC ID 9830595545, 8 clinicians

Practice addresses (Care Compare)

6804 Iroquois Cir
Edina, MN 55439-1014
Phone (612) 564-9772

6804 Iroquois Circle
Edina, MN 55439-1014

6894 Iroquois Cir
Edina, MN 55439-1014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orka Health and Wellness, PLLC Clinical CurrentSince Aug 1, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1013291194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6804 IROQUOIS CIR",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554391014",
            "telephone_number": "126-564-9772",
            "fax_number": "612-225-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6804 IROQUOIS CIR",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554391014",
            "telephone_number": "612-564-9772",
            "fax_number": "612-225-1854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7066 Stillwater Blvd N",
            "address_purpose": "LOCATION",
            "city": "Oakdale",
            "state": "MN",
            "postal_code": "551283937",
            "country_code": "US",
            "telephone_number": "651-251-5073",
            "fax_number": "651-251-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEERASINGHE",
        "first_name": "ANNE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "19777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "SHIBILSKI",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.