Active NPI
Anna Swanson, LICSW
- Clinical Social Worker
- Lake Elmo, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 30918
- Practice address
- 8980 Hudson Blvd N
Lake Elmo, MN 55042-9704 - Phone
- (763) 260-4721
- NPI assigned
- Jul 13, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 30918 | MN | |
| Clinical Social Worker | 1041C0700X | 30918 | MN | Primary |
Addresses
Primary practice location
8980 Hudson Blvd N
Lake Elmo, MN 55042-9704
Mailing address
8980 Hudson Blvd N
Lake Elmo, MN 55042-9704
Phone (925) 963-3773
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30918 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Colorado, P.C. | Clinical | Current | Accepting new patients |
| Optum Behavioral Care of Colorado, P.C. | Current | Accepting new patients | |
| Care Clinics, LLC | Current | Accepting new patients | |
| Optum Behavioral Care of Colorado, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of Colorado PC | Past | Accepting new patients |
Locations
7400 W 109th St
Bloomington, MN 55438
Phone (952) 886-3268
1 Optum Cir
Eden Prairie, MN 55344
Phone (478) 234-8011
8980 Hudson Blvd N
Lake Elmo, MN 55042
Phone (651) 501-1467
4100 Berkshire Ln N
Ste 250
Plymouth, MN 55446
4100 Berkshire Ln N
#250
Plymouth, MN 55446
7601 Wayzata Blvd
St Louis Park, MN 55426
Phone (612) 223-8899
Organizations & group practices 5
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 Psychologist
- Baxter, MN
- NPI 1124898556
-
- Psychologist
- St Louis Park, MN
- NPI 1851716245
-
- Clinical Psychologist
- Minneapolis, MN
- NPI 1053181487
-
- Clinical Social Worker
- De Pere, WI
- NPI 1396622494
-
- Psychologist
- Edina, MN
- NPI 1336967561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1033737333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8980 HUDSON BLVD N",
"city": "LAKE ELMO",
"state": "MN",
"postal_code": "550429704",
"telephone_number": "925-963-3773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8980 HUDSON BLVD N",
"city": "LAKE ELMO",
"state": "MN",
"postal_code": "550429704",
"telephone_number": "763-260-4721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "ANNA",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-13",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "30918",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "30918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Elmo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.