Active NPI
Fanny D Guarnizo Miller, LICSW
- Clinical Social Worker
- Minneapolis, MN
National Provider Identifier
1063972677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 29425
- Practice address
- 310 E 38TH St Ste 322
Minneapolis, MN 55409-1300 - Phone
- (612) 824-0415
- Fax
- (612) 825-0789
- NPI assigned
- Mar 20, 2019
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 29425 | MN | Primary |
Addresses
Primary practice location
310 E 38TH St Ste 322
Minneapolis, MN 55409-1300
Mailing address
310 E 38TH St Ste 322
Minneapolis, MN 55409-1300
Phone (612) 824-0415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beechwood, Inc. | Current | Accepting new patients | |
| Beechwood, Inc. | Current | Accepting new patients |
Locations
3901 Chicago Ave
Minneapolis, MN 55407
Phone (612) 462-3812
310 E 38th St
Ste 322
Minneapolis, MN 55409
Phone (612) 421-2126
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.
-
- Community/Behavioral Health Agency
- Minneapolis, MN
- NPI 1033515994
-
- Home Health Agency
- Minneapolis, MN
- NPI 1316942824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775779200000",
"number": "1063972677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 E 38TH ST STE 322",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554091300",
"telephone_number": "612-824-0415",
"fax_number": "612-825-0789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 E 38TH ST STE 322",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554091300",
"telephone_number": "612-824-0415",
"fax_number": "612-825-0789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "FANNY",
"middle_name": "D GUARNIZO",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-20",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "29425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.