Active NPI
Camille Carla Cushnie, LGSW
- Social Worker
- Minneapolis, MN
National Provider Identifier
1184517286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 33078
- Practice address
- 310 Clifton Ave
Minneapolis, MN 55403-3218 - Phone
- (612) 223-8898
- Fax
- (833) 972-0945
- NPI assigned
- May 29, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 306858 | MN | |
| Social Worker | 104100000X | 33078 | MN | Primary |
Addresses
Primary practice location
310 Clifton Ave
Minneapolis, MN 55403-3218
Mailing address
310 Clifton Ave
Minneapolis, MN 55403-3218
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 |
|---|---|---|---|
| 306858 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| 33078 | MN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750291200000",
"number": "1184517286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 CLIFTON AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554033218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 CLIFTON AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554033218",
"telephone_number": "612-223-8898",
"fax_number": "833-972-0945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSHNIE",
"first_name": "CAMILLE",
"middle_name": "CARLA",
"credential": "LGSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-29",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "306858",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "33078",
"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 Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.