Individual provider Active NPI

Linda Stenstadvold, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1265812317
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6376 Issued in MN
Practice address
2312 Snelling Ave
Minneapolis, MN 55404-3157
Phone
(612) 874-6409
NPI assigned
Jun 4, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW7755 FL
Clinical Social Worker 1041C0700X 6376 MN Primary

Addresses

Primary practice location

2312 Snelling Ave
Minneapolis, MN 55404-3157

Mailing address

2235 Chalet Dr NE
Columbia Heights, MN 55421-2056
Phone (651) 341-2823

Other practice location 1

8941 Portland Ave S
Bloomington, MN 55420-2918
Phone (952) 542-6960

Other practice location 2

7590 Lyric Ln NE Ste 2
Fridley, MN 55432-3251
Phone (612) 314-1130

Other practice location 3

3805 40th Street E
Minneapolis, MN 55406
Phone (612) 874-6409

Other practice location 4

2516 E 24th St
Minneapolis, MN 55406-1209
Phone (612) 722-1892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW7755FLMDClinical Social Worker
6376MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Touchstone Mental Health Past Accepting new patients
Vail Place Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1265812317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 CHALET DR NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554212056",
            "telephone_number": "651-341-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 SNELLING AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043157",
            "telephone_number": "612-874-6409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8941 Portland Ave S",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554202918",
            "country_code": "US",
            "telephone_number": "952-542-6960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7590 Lyric Ln NE Ste 2",
            "address_purpose": "LOCATION",
            "city": "Fridley",
            "state": "MN",
            "postal_code": "554323251",
            "country_code": "US",
            "telephone_number": "612-314-1130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3805 40th Street E",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "55406",
            "country_code": "US",
            "telephone_number": "612-874-6409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2516 E 24th St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554061209",
            "country_code": "US",
            "telephone_number": "612-722-1892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STENSTADVOLD",
        "first_name": "LINDA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2022-03-08",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7755",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "6376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.