Individual provider Active NPI

Maritza Judith Navarro, LGSW

  • Clinical Social Worker
  • Faribault, MN
National Provider Identifier
1124748348
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
31353 Issued in MN
Practice address
1415 Town Square LN
Faribault, MN 55021-6088
Phone
(507) 323-8100
Fax
(833) 974-2090
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 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 31353 MN Primary

Addresses

Primary practice location

1415 Town Square LN
Faribault, MN 55021-6088

Mailing address

1415 Town Square LN
Faribault, MN 55021-6088
Phone (507) 323-8100

Other practice location 1

134 Southview St
Owatonna, MN 55060-3241
Phone (507) 214-6662

Other practice location 2

706 Division St S
Northfield, MN 55057-2427
Phone (507) 646-8964

Other identifiers 1

IdentifierTypeStateIssuer
31353OtherMNMINNESOTA BOARD OF SOCIAL WORK

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
31353MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthfinders Collaborative, Inc. CurrentSince Sep 4, 2022 Accepting new patients

Locations

1415 Town Square Ln
Faribault, MN 55021
Phone (507) 323-8100

706 Division St S
Northfield, MN 55057
Phone (507) 646-6700

134 Southview St
Owatonna, MN 55060
Phone (507) 451-1120

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21423/brand/1/csg/1/fhir/r4

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": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1124748348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 TOWN SQUARE LN",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550216088",
            "telephone_number": "507-323-8100",
            "fax_number": "833-974-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 TOWN SQUARE LN",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550216088",
            "telephone_number": "507-323-8100",
            "fax_number": "833-974-2090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 Southview St",
            "address_purpose": "LOCATION",
            "city": "Owatonna",
            "state": "MN",
            "postal_code": "550603241",
            "country_code": "US",
            "telephone_number": "507-214-6662",
            "fax_number": "833-974-2090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "706 Division St S",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "MN",
            "postal_code": "550572427",
            "country_code": "US",
            "telephone_number": "507-646-8964",
            "fax_number": "833-974-2090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAVARRO",
        "first_name": "MARITZA",
        "middle_name": "JUDITH",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "31353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA BOARD OF SOCIAL WORK",
            "identifier": "31353",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Faribault, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.