Individual provider Active NPI

Emily Geffre, MSW

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1023436748
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19789 Issued in MN
Practice address
1527 E Lake St
Minneapolis, MN 55407-6700
Phone
(612) 728-2061
Fax
(612) 728-2095
NPI assigned
Mar 31, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2021

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 19789 MN Primary

Addresses

Primary practice location

1527 E Lake St
Minneapolis, MN 55407-6700

Mailing address

1527 E Lake St
Minneapolis, MN 55407-6700
Phone (612) 728-2061

Other practice location 1

1501 Xerxes Ave N
Minneapolis, MN 55411-2851
Phone (763) 521-3477

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
I20160801001930 MN Practitioner - Clinical Social Worker 7719270560

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1501 Xerxes Ave N
Minneapolis, MN 55411-2851

4123 E Lake St
Minneapolis, MN 55406-2255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19789MNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Partnership CurrentSince Jun 13, 2016 Accepting new patients

Locations

1501 Xerxes Ave N
Minneapolis, MN 55411
Phone (612) 728-2061

1527 E Lake St
Minneapolis, MN 55407
Phone (612) 345-7175

3433 Broadway St NE
Ste 230
Minneapolis, MN 55413

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": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1023436748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 E LAKE ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554076700",
            "telephone_number": "612-728-2061",
            "fax_number": "612-728-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 E LAKE ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554076700",
            "telephone_number": "612-728-2061",
            "fax_number": "612-728-2095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Xerxes Ave N",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554112851",
            "country_code": "US",
            "telephone_number": "763-521-3477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEFFRE",
        "first_name": "EMILY",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "19789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.