Individual provider Active NPI

Claudia Burns Coleman

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1023697455
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
30508 Issued in MN
Practice address
3225 Holmes Ave S
Minneapolis, MN 55408-3458
Phone
(312) 952-6946
NPI assigned
Apr 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 000224667 MA
Social Worker 104100000X 000124033 MA
Clinical Social Worker 1041C0700X 000224667 MA
Clinical Social Worker 1041C0700X 000124033 MA
Clinical Social Worker 1041C0700X 30508 MN Primary

Addresses

Primary practice location

3225 Holmes Ave S
Minneapolis, MN 55408-3458

Mailing address

3225 Holmes Ave S
Minneapolis, MN 55408-3458
Phone (312) 952-6946

Other practice location 1

408 Saint Peter St Ste 429
Saint Paul, MN 55102-1119
Phone (651) 224-0614

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
I20241202002228 MN Practitioner - Clinical Social Worker 0547795429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CGC LLCGroup PAC ID 4284169723, 9 clinicians

Practice addresses (Care Compare)

333 Washington Ave N
Minneapolis, MN 55401-2263
Phone (612) 825-4792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000124033MAMDClinical Social Worker
000224667MAMDClinical Social Worker
30508MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
CGC LLC CurrentSince Oct 1, 2024 Accepting new patients
PLLC Chiron Collective Psychotherapy Clinical CurrentSince Sep 25, 2022 Accepting new patients
Hamm Memorial Psychiatric Clinic PastSince Jul 1, 1990 Accepting new patients

Locations

333 Washington Ave N
Minneapolis, MN 55401
Phone (612) 349-2797

4208 Park Glen Rd
St Louis Park, MN 55416
Phone (612) 825-4792

Organizations & group practices 3

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": "1617494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1023697455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 HOLMES AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083458",
            "telephone_number": "312-952-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 HOLMES AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083458",
            "telephone_number": "312-952-6946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 Saint Peter St Ste 429",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551021119",
            "country_code": "US",
            "telephone_number": "651-224-0614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "CLAUDIA",
        "middle_name": "BURNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "000224667",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "000124033",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000224667",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000124033",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "30508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.