Active NPI
Connie Toavs, MSW, LICSW
- Clinical Social Worker
- White Bear Lake, MN
National Provider Identifier
1033698949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 25715
- Practice address
- 4505 White Bear Pkwy Ste 1500
White Bear Lake, MN 55110-3697 - Phone
- (651) 493-8150
- Fax
- (651) 493-9335
- NPI assigned
- Aug 10, 2018
- 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 | 25715 | MN | Primary |
Addresses
Primary practice location
4505 White Bear Pkwy Ste 1500
White Bear Lake, MN 55110-3697
Mailing address
1978 Shale LN
Eagan, MN 55122-2208
Phone (507) 456-6744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 20, 2024 through May 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25715 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1033698949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1978 SHALE LN",
"city": "EAGAN",
"state": "MN",
"postal_code": "551222208",
"telephone_number": "507-456-6744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4505 WHITE BEAR PKWY STE 1500",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551103697",
"telephone_number": "651-493-8150",
"fax_number": "651-493-9335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOAVS",
"first_name": "CONNIE",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-10",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "25715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Bear Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.