Social Services of Minnesota

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

Legal business name

SOCIAL SERVICES OF MINNESOTA

Practice address

2168 Nortonia Ave
Saint Paul, MN 55119-3550

Phone

(612) 401-4864

Fax

(612) 401-4864

NPI assigned

Apr 28, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Salvatore Emerson, CPRSR

Title

Executive Director

Phone

(612) 401-4864

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1073201836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2168 NORTONIA AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551193550",
            "telephone_number": "612-401-4864",
            "fax_number": "612-401-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2168 NORTONIA AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551193550",
            "telephone_number": "612-401-4864",
            "fax_number": "612-401-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL SERVICES OF MINNESOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "EMERSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "SALVATORE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-401-4864",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPRSR"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joseph J Sockalosky, MD
• Brekken Rae Soderlund
• Nishtha Sodhi, M.D.
• Avraham Sofer, M.D.
• Augustine Soko

• Recovery Care Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Recovery Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.