Active NPI
Anne Dahlquist
- Clinical Social Worker
- Minneapolis, MN
National Provider Identifier
1144975558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19868
- Practice address
- 5239 40TH Ave S
Minneapolis, MN 55417-2223 - Phone
- (651) 328-4159
- NPI assigned
- Feb 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 19868 | MN | Primary |
Addresses
Primary practice location
5239 40TH Ave S
Minneapolis, MN 55417-2223
Mailing address
5239 40TH Ave S
Minneapolis, MN 55417-2223
Phone (651) 328-4159
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 |
|---|---|---|---|
| 19868 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1144975558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5239 40TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554172223",
"telephone_number": "651-328-4159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5239 40TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554172223",
"telephone_number": "651-328-4159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHLQUIST",
"first_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-14",
"last_updated": "2022-02-14",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "19868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.