Virginia Kay Backman, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15376 Issued in MN

Practice address

201 28TH Ave SW
Willmar, MN 56201-5241

Phone

(320) 214-8558

Fax

(320) 235-2733

NPI assigned

May 23, 2009

Last updated

Sep 9, 2022By the provider in NPPES

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

• Ms. Ginny Kay Backman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heartland Ranch, Inc.

  • Voluntary or Charitable Agency
  • Benson, MN
  • NPI 1407604184
  NPD (past)

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

{
    "created_epoch": "1243036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1144455817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 28TH AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562015241",
            "telephone_number": "320-214-8558",
            "fax_number": "320-235-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 28TH AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562015241",
            "telephone_number": "320-214-8558",
            "fax_number": "320-235-2733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Highway 9 NE",
            "address_purpose": "LOCATION",
            "city": "Benson",
            "state": "MN",
            "postal_code": "562151160",
            "country_code": "US",
            "telephone_number": "320-843-4815",
            "fax_number": "320-843-5105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACKMAN",
        "first_name": "VIRGINIA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-23",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "15376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINNY",
            "last_name": "BACKMAN",
            "middle_name": "KAY",
            "prefix": "MS.",
            "credential": "LICSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Abdullahi Abdiqani Awale
• Faisal Awale
• Zainab Aweis
• Backhaus Eye Service, Inc (Pearle Vision Willmar)
• Theresa Lynn Backhaus, RN C
• Katie Elizabeth Baker
• Jessica Lee Bakken, MS
• Emily L Bakker, R.D.
• Gabrielle Balmer
• Sharon H. Banister, M.D.

• Clinical Social Worker in Willmar, MN
• Providers in Willmar, 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 Sep 9, 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.