Amy Patrice Kuusisto-Lathrop, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10798 Issued in MN

Practice address

6200 Shingle Creek Pkwy Ste 350
Brooklyn Center, MN 55430-2155

Phone

(763) 503-8560

Fax

(763) 503-8563

NPI assigned

Dec 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amy Kuusisto Former name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ramsey County Mental Health CenterGroup PAC ID 5092627000, 25 clinicians

Associated Clinic of Psychology IncGroup PAC ID 0749171320, 136 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.jerry.p3@direct.ramseysocialservices.nextgenshare.com
• Direct secure messaging: emmy.paulson.p3@direct.ramseysocialservices.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: amy.kuusistolathrop.p3@direct.ramseysocialservices.nextgenshare.com

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.

• Associated Clinic of Psychology Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Louis Park, MN
  • NPI 1588741292
  Medicare reassignment Care Compare group NPD
• Ramsey County Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Paul, MN
  • NPI 1235299124
  Medicare reassignment Care Compare group NPD
• Ramsey County Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Paul, MN
  • NPI 1376228684
  NPD

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

{
    "created_epoch": "1167523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1275699381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 PARK GLEN RD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165427",
            "telephone_number": "612-925-6033",
            "fax_number": "612-925-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SHINGLE CREEK PKWY STE 350",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302155",
            "telephone_number": "763-503-8560",
            "fax_number": "763-503-8563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 University Ave W",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551043453",
            "country_code": "US",
            "telephone_number": "651-266-7900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUUSISTO-LATHROP",
        "first_name": "AMY",
        "middle_name": "PATRICE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-31",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "10798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29155880",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "KUUSISTO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anna E Krieger, MD
• Sadia Pauletta Kruah
• Antoinette Krynski, LPCC
• Jenifer Lynn Kuhfuss, LICSW
• Lacie Kummer
• Brianna Yolanda Kuznia
• Laurie Lacina
• Laurel Ladd
• Lady Tees Home Care SVCS Inc
• Brienne Lahaye, M.A., LMFT

• Clinical Social Worker in Brooklyn Center, MN
• Providers in Brooklyn Center, 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 Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.