Tracy Kuphal-Strand, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19381 Issued in MN

Practice address

12915 63Rd Ave N
Maple Grove, MN 55369-6001

Phone

(763) 383-5800

NPI assigned

Apr 6, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tracy Kuphal Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1093179020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8231 109TH PL N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12915 63RD AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553696001",
            "telephone_number": "763-383-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPHAL-STRAND",
        "first_name": "TRACY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "19381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "KUPHAL",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• May See Kue
• Erika Lindsey Kuis, FNP
• Nita Kumar
• Andrea Joy Kunz
• Allen P. Kuperman, M.D.
• Kiera Taylor Kutzke
• Alysha Kvam
• Leeann Rae Kyriakides, M.S. CCC SLP, COM
• L.C. Optometric P.C.
• L&C Health Solutions LLC

• Clinical Social Worker in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.