Emerge Mothers Academy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20515 Issued in MN

Legal business name

EMERGE MOTHERS ACADEMY

Practice address

2300 Chicago Ave
Minneapolis, MN 55404-3834

Phone

(612) 721-6294

NPI assigned

Jun 13, 2014

Organization subpart

No

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

Authorized official

Name

Rebecca Nicole Erickson, MA

Title

Executive Director

Phone

(612) 910-9962

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1144634452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 CRYSTAL CIR",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551262973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043834",
            "telephone_number": "612-721-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGE MOTHERS ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-910-9962",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teame Hadgu Embaye, D.C.
• Embrace Life Chiropractic PLLC
• Laurie Emde, RN
• Amanda Chinyere Emele, RN, BSN, MSN, PHN
• Emerge Behavioral Health LLC
• Emergency Care Consultants, PA
• Emerson Adult Day Care Center Inc
• Erin Phaedra Emerson Egginton, DO
• Geoffrey Guy Emerson, MD
• Judith Emerson, LICSW

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, 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 Jun 13, 2014; 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.