Individual provider Active NPI

Braydon Stockert, LGSW

  • Social Worker
  • Arden Hills, MN
National Provider Identifier
1033088802
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
35063 Issued in MN
Practice address
6 Pine Tree Dr Ste 290-295
Arden Hills, MN 55112-3745
Phone
(952) 698-5600
Fax
(952) 698-5599
NPI assigned
Oct 31, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 35063 MN Primary

Addresses

Primary practice location

6 Pine Tree Dr Ste 290-295
Arden Hills, MN 55112-3745

Mailing address

1686 Ford Pkwy
Saint Paul, MN 55116-2198
Phone (701) 220-4961

Other names 1

  • Brady Stockert Professional name

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

LicenseStateTypeSpecialty
35063MNMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1761868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1033088802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1686 FORD PKWY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162198",
            "telephone_number": "701-220-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PINE TREE DR STE 290-295",
            "city": "ARDEN HILLS",
            "state": "MN",
            "postal_code": "551123745",
            "telephone_number": "952-698-5600",
            "fax_number": "952-698-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKERT",
        "first_name": "BRAYDON",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-31",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "35063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRADY",
            "last_name": "STOCKERT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Arden Hills, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.