Active NPI
Danielle Kristine Patterson
- Clinical Social Worker
- Brooklyn Center, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19022
- Practice address
- 5910 Shingle Creek Pkwy
Brooklyn Center, MN 55430-2322 - Phone
- (763) 569-5200
- Fax
- (763) 569-5201
- NPI assigned
- Dec 6, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 19022 | MN | Primary |
Addresses
Primary practice location
5910 Shingle Creek Pkwy
Brooklyn Center, MN 55430-2322
Mailing address
5910 Shingle Creek Pkwy
Brooklyn Center, MN 55430-2322
Phone (763) 569-5200
Other practice location 1
6425 Nicollet Ave
Richfield, MN 55423-1675
Phone (612) 861-1675
Other practice location 2
701 Decatur Ave N Suite 109
Golden Valley, MN 55427
Phone (763) 746-2400
Other practice location 3
1001 Highway 7 Ste 309
Hopkins, MN 55305-4737
Phone (763) 569-5200
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19022 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youable Emotional Health Services | Current | Accepting new patients |
Locations
1001 Highway 7
Ste 309
Hopkins, MN 55305
Phone (612) 861-1675
701 Decatur Ave N
Ste 109
Minneapolis, MN 55427
Phone (763) 746-2400
5910 Shingle Creek Pkwy
Minneapolis, MN 55430
Phone (763) 569-5200
6425 Nicollet Ave
Richfield, MN 55423
Phone (612) 861-1675
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.
-
- Community/Behavioral Health Agency
- Richfield, MN
- NPI 1386728228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593993600000",
"number": "1144735655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5910 SHINGLE CREEK PKWY",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554302322",
"telephone_number": "763-569-5200",
"fax_number": "763-569-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5910 SHINGLE CREEK PKWY",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554302322",
"telephone_number": "763-569-5200",
"fax_number": "763-569-5201"
}
],
"practiceLocations": [
{
"address_1": "6425 Nicollet Ave",
"address_purpose": "LOCATION",
"city": "Richfield",
"state": "MN",
"postal_code": "554231675",
"country_code": "US",
"telephone_number": "612-861-1675",
"fax_number": "612-861-3446",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 Decatur Ave N Suite 109",
"address_purpose": "LOCATION",
"city": "Golden Valley",
"state": "MN",
"postal_code": "55427",
"country_code": "US",
"telephone_number": "763-746-2400",
"fax_number": "763-746-2401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 Highway 7 Ste 309",
"address_purpose": "LOCATION",
"city": "Hopkins",
"state": "MN",
"postal_code": "553054737",
"country_code": "US",
"telephone_number": "763-569-5200",
"fax_number": "763-569-5201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATTERSON",
"first_name": "DANIELLE",
"middle_name": "KRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-06",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "19022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn Center, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.