Caremmax

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CAREMMAX

Practice address

2615 42ND Ave S
Saint Cloud, MN 56301-5490

Phone

(320) 224-2234

NPI assigned

May 31, 2022

Organization subpart

No

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

Authorized official

Name

Farhiyo Idifle, LICSWNPI 1700346434

Title

Social Worker

Phone

(320) 224-2234

Specialties & licenses 2

Addresses

Other names 1

• CAREMAX LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Farhiyo Idifle

  • Social Worker
  • Golden Valley, MN
  • NPI 1700346434
  NPD Authorized official

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1083353908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 42ND AVE S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563015490",
            "telephone_number": "320-224-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 42ND AVE S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563015490",
            "telephone_number": "320-224-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMMAX",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "IDIFLE",
        "authorized_official_first_name": "FARHIYO",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "320-224-2234",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAREMAX LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory M Carbone, D.O.
• Care Alliance Network LLC
• Care Cab
• Care Planning Institute
• Careconnect Health Services LLC
• Mary Kay Carle, LMFT
• Erin Carlsen
• Ashely Nicole Carlson
• Bethany Carlson
• Brianne Marie Carlson

• All providers in Saint Cloud, MN
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.