Active NPI
Rosalin Ardele Chrest, LICSW
- Clinical Social Worker
- Minneapolis, MN
National Provider Identifier
1073575999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15650
- Practice address
- 4543 Oliver Ave N
Minneapolis, MN 55412-1124 - Phone
- (651) 260-6512
- NPI assigned
- Apr 5, 2006
- 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 | 15650 | MN | Primary |
Addresses
Primary practice location
4543 Oliver Ave N
Minneapolis, MN 55412-1124
Mailing address
4543 Oliver Ave N
Minneapolis, MN 55412-1124
Phone (651) 260-6512
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1029315 | Other | PREFERRED ONE | |
| HP34501 | Other | HEALTH PARTNERS | |
| 6261828 | Other | UBH | |
| 168060 | Other | U CARE | |
| 288623500 | Medicaid | MN | |
| 407T9CH | Other | MN | BCBS |
Other names 1
- Rosalin Ardele Thingelstad
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 617 | ND | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health | Past | Accepting new patients | |
| St Aloisius Hospital Inc | Past | Accepting new patients |
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.
-
dba St Aloisius Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Harvey, ND
- NPI 1639296007
-
dba Trinity Portable X-Ray
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Minot, ND
- NPI 1629636204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1073575999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4543 OLIVER AVE N",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554121124",
"telephone_number": "651-260-6512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4543 OLIVER AVE N",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554121124",
"telephone_number": "651-260-6512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHREST",
"first_name": "ROSALIN",
"middle_name": "ARDELE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "15650",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1029315",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP34501",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "6261828",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U CARE",
"identifier": "168060",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "288623500",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "407T9CH",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROSALIN",
"last_name": "THINGELSTAD",
"middle_name": "ARDELE",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.