Active NPI
Deborah Ludwig, MSW, LCISW
- Clinical Social Worker
- Golden Valley, MN
National Provider Identifier
1215645312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 17071
- Practice address
- 1330 Mandan Ave
Golden Valley, MN 55427-3821 - Phone
- (952) 237-8227
- NPI assigned
- Nov 8, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 17071 | MN | Primary |
Addresses
Primary practice location
1330 Mandan Ave
Golden Valley, MN 55427-3821
Mailing address
1330 Mandan Ave
Golden Valley, MN 55427-3821
Phone (952) 237-8227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 9, 2024 through Dec 9, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17071 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1215645312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 MANDAN AVE",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554273821",
"telephone_number": "952-237-8227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 MANDAN AVE",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554273821",
"telephone_number": "952-237-8227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUDWIG",
"first_name": "DEBORAH",
"credential": "MSW, LCISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-08",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "17071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Golden Valley, MN
- Ashley Ann Marie Love, LSW
- Loveworks Academy for Visual and Performing Arts
- Erin Kyle Lovik-Lust, PTA
- Patricia Lucas, PH.D. , R-DMT, LPCC
- Lucinda Cummings, PH.D., LP, LLC
- Lynn Lukoskie, PHARMD
- Devri Noelle Lybeck, P.T.
- Malinda Lynch, FNP, PMHNP
- Lynda Richtsmeier Cyr, PH.D., L.P., LLC
- John Thomas Macdonald, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.