Individual provider Active NPI

Maija Swanson

  • Clinical Social Worker
  • Duluth, MN
National Provider Identifier
1174916639
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19982 Issued in MN
Practice address
222 E Superior St Ste 302
Duluth, MN 55802-2277
Phone
(218) 576-5757
NPI assigned
Mar 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 306135 MN
Clinical Social Worker 1041C0700X 8532 WI
Clinical Social Worker 1041C0700X 19982 MN Primary

Addresses

Primary practice location

222 E Superior St Ste 302
Duluth, MN 55802-2277

Mailing address

PO Box 161462
Duluth, MN 55816-1462
Phone (218) 591-1037

Other practice location 1

230 1st St S Ste 110
Virginia, MN 55792-2670
Phone (218) 288-6001

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
I20150609002897 MN Practitioner - Clinical Social Worker 1557682051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
306135MNMDAddiction (Substance Use Disorder) Counselor
19982MNMDClinical Social Worker
8532WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kalina Counseling Services, LLC. PastSince Nov 30, 2020 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": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1174916639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161462",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558161462",
            "telephone_number": "218-591-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E SUPERIOR ST STE 302",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022277",
            "telephone_number": "218-576-5757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 1st St S Ste 110",
            "address_purpose": "LOCATION",
            "city": "Virginia",
            "state": "MN",
            "postal_code": "557922670",
            "country_code": "US",
            "telephone_number": "218-288-6001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "MAIJA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "306135",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8532",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "19982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.