NPIMap

Organization Active NPI

Andsdotter Charlotta Chartered

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1255528329
Registry record updated Oct 2, 2007
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Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW 2075 Issued in MN
Legal business name
ANDSDOTTER CHARLOTTA CHARTERED
Practice address
2406 Glenwood Ave
Minneapolis, MN 55405-1013
Phone
(612) 377-1701
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Charlotte Jean Ipsen, MSW
Title
President/Psychotherapist
Phone
(612) 377-1701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LICSW 2075 MN Primary

Addresses

Primary practice location

2406 Glenwood Ave
Minneapolis, MN 55405-1013

Mailing address

2406 Glenwood Ave
Minneapolis, MN 55405-1013
Phone (612) 377-1701

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1255528329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 GLENWOOD AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554051013",
            "telephone_number": "612-377-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 GLENWOOD AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554051013",
            "telephone_number": "612-377-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDSDOTTER CHARLOTTA CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "IPSEN",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "612-377-1701",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "LICSW 2075",
            "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 Oct 2, 2007; 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.