Winds of Change Counseling Services Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MN12849 Issued in MN

Legal business name

WINDS OF CHANGE COUNSELING SERVICES INC

Practice address

207 Avenue C
Cloquet, MN 55720-1584

Phone

(218) 655-3347

Fax

(218) 655-3390

NPI assigned

Feb 13, 2009

Last updated

Feb 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary B Thomas, MSW, LICSWNPI 1184746133

Title

President

Phone

(218) 655-3347

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Beth Thomas, LICSW

  • Clinical Social Worker
  • Cloquet, MN
  • NPI 1184746133
  Authorized official Same address or phone

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1104065192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 AVENUE C",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201584",
            "telephone_number": "218-655-3347",
            "fax_number": "218-655-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 AVENUE C",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201584",
            "telephone_number": "218-655-3347",
            "fax_number": "218-655-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDS OF CHANGE COUNSELING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-655-3347",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "MN12849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Cloquet, MN
• Providers in Cloquet, 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 Feb 13, 2009; 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.