Individual provider Active NPI

Maureen Elizabeth Murray, LICSW

  • Clinical Social Worker
  • Saint Cloud, MN
National Provider Identifier
1063119188
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27583 Issued in MN
Practice address
56 33Rd Ave S # 203
Saint Cloud, MN 56301-3722
Phone
(320) 296-2852
NPI assigned
Feb 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 27583 MN
Clinical Social Worker 1041C0700X 27583 MN Primary

Addresses

Primary practice location

56 33Rd Ave S # 203
Saint Cloud, MN 56301-3722

Mailing address

56 33Rd Ave S # 203
Saint Cloud, MN 56301-3722
Phone (320) 296-2852

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230712004728 MN Practitioner - Clinical Social Worker 6800256504 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27583MNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Vision Therapy Clinical CurrentSince Feb 23, 2025 Accepting new patients
Family Support Services Inc. CurrentSince May 30, 2023 Accepting new patients

Locations

11100 SW 93rd Court Rd
Ste 10140
Ocala, FL 34481

56 33rd Ave S
Saint Cloud, MN 56301
Phone (320) 296-2852

1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718

101 Dehler Dr
Sartell, MN 56377
Phone (320) 253-3512

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1063119188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 33RD AVE S # 203",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013722",
            "telephone_number": "320-296-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 33RD AVE S # 203",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013722",
            "telephone_number": "320-296-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "MAUREEN",
        "middle_name": "ELIZABETH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-09",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "27583",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "27583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.