Active NPI
Katie Suzanne Perzel, LICSW
- Clinical Social Worker
- New Hope, MN
National Provider Identifier
1033205174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 17353
- Practice address
- 9220 Bass Lake Rd Ste 255
New Hope, MN 55428-3019 - Phone
- (763) 225-4052
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 17353 | MN | Primary |
Addresses
Primary practice location
9220 Bass Lake Rd Ste 255
New Hope, MN 55428-3019
Mailing address
7625 Metro Blvd Ste 200
Edina, MN 55439-3079
Phone (952) 945-4092
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17353 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Volunteers of America of MN | Clinical | Past | 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.
-
- Clinical Social Worker
- Golden Valley, MN
- NPI 1689743916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1033205174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7625 METRO BLVD STE 200",
"city": "EDINA",
"state": "MN",
"postal_code": "554393079",
"telephone_number": "952-945-4092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9220 BASS LAKE RD STE 255",
"city": "NEW HOPE",
"state": "MN",
"postal_code": "554283019",
"telephone_number": "763-225-4052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERZEL",
"first_name": "KATIE",
"middle_name": "SUZANNE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2021-11-11",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "17353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Hope, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.