Individual provider Active NPI

Elizabeth Eileen Nager, M.S.S.W.

  • Clinical Social Worker
  • Golden Valley, MN
National Provider Identifier
1184772246
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
02485 Issued in MN
Practice address
8100 Wayzata Blvd
Golden Valley, MN 55426-1338
Phone
(952) 212-0304
Fax
(952) 448-7098
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 02485 MN Primary

Addresses

Primary practice location

8100 Wayzata Blvd
Golden Valley, MN 55426-1338

Mailing address

8100 Wayzata Blvd
Golden Valley, MN 55426-1338
Phone (952) 212-0304

Other identifiers 2

IdentifierTypeStateIssuer
232258700MedicaidMN
267M4NAOtherMNBLUECROSS BLUESHIELD

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
I20040216000058 MN Practitioner - Clinical Social Worker 9335033828 Practice locations: Minneapolis, MN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2538 Kipling Ave
Minneapolis, MN 55416-3952
Phone (952) 212-0304

2538 Kipling Ave S
Minneapolis, MN 55416-3952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02485MNMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1184772246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 WAYZATA BLVD",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261338",
            "telephone_number": "952-212-0304",
            "fax_number": "952-448-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 WAYZATA BLVD",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261338",
            "telephone_number": "952-212-0304",
            "fax_number": "952-448-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGER",
        "first_name": "ELIZABETH",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "M.S.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "02485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232258700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "267M4NA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

Verify at the official NPI Registry.