Dangie Wellness Services P.a.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10921 Issued in MN

Legal business name

DANGIE WELLNESS SERVICES P.A.

Practice address

6347 Upland LN N
Maple Grove, MN 55311-4005

Phone

(612) 202-9085

Fax

(763) 422-8283

NPI assigned

Aug 8, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Lynn Marie Marrs, LICSWNPI 1073590279

Title

Owner/Psychotherapist

Phone

(612) 202-9085

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynn Marie Marrs, MSW LICSW

  • Clinical Social Worker
  • Maple Grove, MN
  • NPI 1073590279
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1215128707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6347 UPLAND LANE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553114005",
            "telephone_number": "612-202-9085",
            "fax_number": "763-422-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6347 UPLAND LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553114005",
            "telephone_number": "612-202-9085",
            "fax_number": "763-422-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANGIE WELLNESS SERVICES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "MARRS",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "612-202-9085",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "10921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215536200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Christopher Dale, D.D.S.
• Zachary Thomas Dalki, PT
• Christa Damrow
• Manijeh Daneshpour, PHD
• Andrew Khoa Dang, DO
• Kathrine Carlson Daniels, PHD
• Danielson Chiropractic LLC
• Allison Danielson, DC
• Bushra Sikander Dar, MD
• Kayleigh M Darling, PSY.D.

• Clinical Social Worker in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.