Active NPI
Mai Ko Xiong, LICSW
- Social Worker
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 28589
- Practice address
- 539 Gotzian St
Saint Paul, MN 55106-5333 - Phone
- (651) 792-6564
- NPI assigned
- Dec 6, 2023
- Last updated
- Dec 6, 2023
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 28589 | MN | Primary |
Addresses
Primary practice location
539 Gotzian St
Saint Paul, MN 55106-5333
Mailing address
593 Gotzian St
Saint Paul, MN 55106-5347
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1973 Sloan PL
Suite 50B
Saint Paul, MN 55117-2173
Phone (651) 792-6564
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Medical and Rehabilitative Services, LLC | Current | Accepting new patients | |
| Well-Being Mental Health and Consulting Services, LLC | Current | Accepting new patients | |
| Better Life Inc | Current | Accepting new patients |
Locations
4444 W 76th St
Ste 500
Minneapolis, MN 55435
Phone (952) 831-7246
1973 Sloan Pl
Ste 50B
Saint Paul, MN 55117
Phone (651) 214-4605
2147 University Ave W
Ste 204
Saint Paul, MN 55114
Phone (651) 792-6564
2147 University Ave W
Ste 205
Saint Paul, MN 55114
Phone (651) 370-2058
225 University Ave W
Ste 122
Saint Paul, MN 55103
Phone (651) 525-6169
4201 Excelsior Blvd
St Louis Park, MN 55416
Phone (952) 564-3880
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Mental Health Clinic/Center
- Saint Paul, MN
- NPI 1326844960
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Saint Paul, MN
- NPI 1619681590
-
dba Minnesota Medical and Rehabilitation
- Physical Therapist
- St Louis Park, MN
- NPI 1154302545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1033986534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "593 GOTZIAN ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551065347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "539 GOTZIAN ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551065333",
"telephone_number": "651-792-6564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XIONG",
"first_name": "MAI KO",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-06",
"last_updated": "2023-12-06",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "28589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.