Active NPI
Andrew B Kiel, MSW, LICSW
- Clinical Social Worker
- Minneapolis, MN
National Provider Identifier
1023289808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 17554
- Practice address
- 2021 E Hennepin Ave
Minneapolis, MN 55413-2700 - Phone
- (612) 259-1700
- NPI assigned
- Mar 19, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 17554 | MN | Primary |
Addresses
Primary practice location
2021 E Hennepin Ave
Minneapolis, MN 55413-2700
Mailing address
1153 Blair Ave
Saint Paul, MN 55104-2002
Phone (612) 269-1729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17554 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205884800000",
"number": "1023289808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1153 BLAIR AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551042002",
"telephone_number": "612-269-1729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 E HENNEPIN AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554132700",
"telephone_number": "612-259-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIEL",
"first_name": "ANDREW",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-19",
"last_updated": "2008-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "17554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.