Individual provider Active NPI

Elizabeth Dicristina Adler, MSW

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1164873170
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23583 Issued in MN
Practice address
1100 Glenwood Ave
Minneapolis, MN 55405
Phone
(612) 400-6380
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

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 23583 MN Primary

Addresses

Primary practice location

1100 Glenwood Ave
Minneapolis, MN 55405

Mailing address

1100 Glenwood Ave
Minneapolis, MN 55405-1430
Phone (612) 400-6380

Other practice location 1

475 Cleveland Ave N Ste 316
Saint Paul, MN 55104-5051
Phone (715) 523-1783

Other practice location 2

475 Cleveland Ave N Ste 316
Saint Paul, MN 55104-5051
Phone (715) 523-1783

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
23583MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Washburn Center for Children Past Accepting new patients

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": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1164873170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 GLENWOOD AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554051430",
            "telephone_number": "612-400-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 GLENWOOD AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55405",
            "telephone_number": "612-400-6380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Cleveland Ave N Ste 316",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551045051",
            "country_code": "US",
            "telephone_number": "715-523-1783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 Cleveland Ave N Ste 316",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551045051",
            "country_code": "US",
            "telephone_number": "715-523-1783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADLER",
        "first_name": "ELIZABETH",
        "middle_name": "DICRISTINA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "23583",
            "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 May 8, 2019; 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.