Coleen Groen, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COLEEN GROEN, LLC

Practice address

14606 97TH St N
Stillwater, MN 55082-9256

Phone

(612) 274-6266

NPI assigned

Mar 27, 2023

Organization subpart

No

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

Authorized official

Name

Coleen Maclean Groen, MSW, LICSWNPI 1598919573

Title

Psychotherapist

Phone

(612) 274-6266

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Coleen Maclean Groen, MSW, LCSW

  • Clinical Social Worker
  • Lake Elmo, MN
  • NPI 1598919573
  NPD Authorized official

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1295438315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14606 97TH ST N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550829256",
            "telephone_number": "612-274-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14606 97TH ST N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550829256",
            "telephone_number": "612-274-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLEEN GROEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-26",
        "status": "A",
        "authorized_official_last_name": "GROEN",
        "authorized_official_first_name": "COLEEN",
        "authorized_official_middle_name": "MACLEAN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "612-274-6266",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Mary Clements, OTR
• Maura Jean Walsh Clemons, PA-C
• Paula Marie Closson Behm, PTA
• Anthony Nelson Coffey, PT
• Foster C Cole, PHD LP
• Renee Catherine Collova-Bergee, LP
• Tamilyn A Colombo, MA CCC/SLP
• Jeffrey Russell Comins, PSY.D.
• Elizabeth A Connor, OTR/L
• Rebecca Lynn Conroy, LICSW

• Clinical Social Worker in Stillwater, MN
• Providers in Stillwater, 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 Mar 27, 2023; 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.