Individual provider Active NPI

Fanny D Guarnizo Miller, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1063972677
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
29425 Issued in MN
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

Updated by the provider on Apr 10, 2026

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 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

OrganizationSpecialtyStatusNew patients
Beechwood, Inc. CurrentSince Oct 23, 2022 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.

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.

Verify at the official NPI Registry.