Individual provider Active NPI

Daniel Grant Christensen-Cowan, MSW, LGSW

  • Clinical Social Worker
  • Mendota Heights, MN
National Provider Identifier
1114360674
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21019 Issued in MN
Practice address
675 Cheyenne LN
Mendota Heights, MN 55120-1687
Phone
(651) 216-1202
NPI assigned
Apr 14, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 21019 MN Primary

Addresses

Primary practice location

675 Cheyenne LN
Mendota Heights, MN 55120-1687

Mailing address

675 Cheyenne LN
Mendota Heights, MN 55120-1687
Phone (651) 216-1202

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21019MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dan Christensen-Cowan Licsw, L.L.C. CurrentSince Jul 10, 2022 Accepting new patients

Locations

3507 Lyndale Ave S
Minneapolis, MN 55408
Phone (612) 702-4119

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1365897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1114360674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 CHEYENNE LN",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201687",
            "telephone_number": "651-216-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 CHEYENNE LN",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201687",
            "telephone_number": "651-216-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN-COWAN",
        "first_name": "DANIEL",
        "middle_name": "GRANT",
        "credential": "MSW, LGSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-14",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "21019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendota Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.