Active NPI
Michelle Wincell, LICSW
- Clinical Social Worker
- Anoka, MN
National Provider Identifier
1285710863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LICSW12249
- Practice address
- 22426 Saint Francis Blvd
Anoka, MN 55303-9670 - Phone
- (763) 753-7310
- Fax
- (763) 753-6529
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 | LICSW12249 | MN | Primary |
Addresses
Primary practice location
22426 Saint Francis Blvd
Anoka, MN 55303-9670
Mailing address
13024 89TH Ave N
Maple Grove, MN 55369-9513
Phone (763) 753-7310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LICSW12249 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1285710863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13024 89TH AVE N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553699513",
"telephone_number": "763-753-7310",
"fax_number": "763-753-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22426 SAINT FRANCIS BLVD",
"city": "ANOKA",
"state": "MN",
"postal_code": "553039670",
"telephone_number": "763-753-7310",
"fax_number": "763-753-6529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINCELL",
"first_name": "MICHELLE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "LICSW12249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anoka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.