Individual provider Active NPI

Alisa Joy Linne

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1174727374
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17522 Issued in MN
Practice address
2530 Chicago Ave. S.
CSC Mail-Stop 175
Minneapolis, MN 55404
Phone
(612) 813-6138
Fax
(612) 813-6319
NPI assigned
Jun 12, 2007
Last updated
Jul 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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 17522 MN Primary

Addresses

Primary practice location

2530 Chicago Ave. S.
CSC Mail-Stop 175
Minneapolis, MN 55404

Mailing address

2530 Chicago Ave. S.
CSC Mail-Stop 175
Minneapolis, MN 55404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231031000166 MN Practitioner - Clinical Social Worker 8921454786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7400 Metro Blvd
Suite 345
Edina, MN 55439-2465
Phone (612) 444-6405

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centering Therapy LLC Clinical CurrentSince Sep 1, 2023 Accepting new patients

Locations

7400 Metro Blvd
Ste 345
Minneapolis, MN 55439
Phone (612) 444-6405

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1174727374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 CHICAGO AVE. S.",
            "address_2": "CSC MAIL-STOP 175",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 CHICAGO AVE. S.",
            "address_2": "CSC MAIL-STOP 175",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55404",
            "telephone_number": "612-813-6138",
            "fax_number": "612-813-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINNE",
        "first_name": "ALISA",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "17522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.