Sonlight Therapeutic Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

145 Issued in MN

Legal business name

SONLIGHT THERAPEUTIC SERVICES

Practice address

505 S 12TH Ave
Virginia, MN 55792-3099

Phone

(218) 741-5110

Fax

(218) 741-5110

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Roger Paul Linden, L.I.C.S.W

Title

Licensed Therapist

Phone

(218) 741-5110

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053536854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S 12TH AVE",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557923099",
            "telephone_number": "218-741-5110",
            "fax_number": "218-741-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S 12TH AVE",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557923099",
            "telephone_number": "218-741-5110",
            "fax_number": "218-741-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONLIGHT THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINDEN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "LICENSED THERAPIST",
        "authorized_official_telephone_number": "218-741-5110",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.I.C.S.W"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Virginia, MN
• Providers in Virginia, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.