NPIMap

Organization Active NPI

Catholic Charities of the Archdiocese of St Paul and MPLS

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1235240474
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF ST PAUL AND MPLS
Practice address
1121 E 46TH St
Minneapolis, MN 55407-3562
Phone
(612) 204-8217
NPI assigned
Aug 31, 2006
Organization subpart
Yes
Parent organization
CATHOLIC CHARITIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Authorized official

Name
Yolanda O'Reilly
Title
Billing MGR
Phone
(612) 204-8387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1121 E 46TH St
Minneapolis, MN 55407-3562

Mailing address

1200 2ND Ave S
Minneapolis, MN 55403-2513

Other identifiers 1

IdentifierTypeStateIssuer
592218600MedicaidMN

Other names 1

  • St Josephs Home for Children Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities of the Archdiocese of St Paul and Minneapolis6 organizations share this tax ID, including this one
Part of
Catholic Charities of the Archdiocese of St Paul and Minneapolis

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1235240474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 2ND AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 E 46TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073562",
            "telephone_number": "612-204-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF THE ARCHDIOCESE OF ST PAUL AND MPLS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC CHARITIES",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "O'REILLY",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "612-204-8387"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "592218600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Josephs Home for Children",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.