Individual provider Active NPI

Juneau Ronnye Hill, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1063654598
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18096 Issued in MN
Practice address
2800 Freeway Blvd Ste 118
Minneapolis, MN 55430-1751
Phone
(612) 986-3836
Fax
(757) 937-0964
NPI assigned
Mar 30, 2009
Last updated
Dec 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 18096 MN Primary

Addresses

Primary practice location

2800 Freeway Blvd Ste 118
Minneapolis, MN 55430-1751

Mailing address

2800 Freeway Blvd Ste 118
Minneapolis, MN 55430-1751
Phone (612) 986-3836

Other names 1

  • Juneau Ronnye Hill-Armstrong Former name

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
I20130112000013 MN Practitioner - Clinical Social Worker 2769635267 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18096MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jasira Family Counseling CurrentSince May 1, 2015 Accepting new patients

Locations

2800 Freeway Blvd
Ste 118
Minneapolis, MN 55430
Phone (612) 986-3836

5701 Shingle Creek Pkwy
Ste 500T
Minneapolis, MN 55430
Phone (612) 986-3836

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1063654598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 FREEWAY BLVD STE 118",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554301751",
            "telephone_number": "612-986-3836",
            "fax_number": "763-561-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 FREEWAY BLVD STE 118",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554301751",
            "telephone_number": "612-986-3836",
            "fax_number": "757-937-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "JUNEAU",
        "middle_name": "RONNYE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUNEAU",
            "last_name": "HILL-ARMSTRONG",
            "middle_name": "RONNYE",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.