Organization Active NPI

Wauona Training and Consulting Inc

  • Clinical Social Worker
  • Chaska, MN
National Provider Identifier
1295937381
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06016 Issued in MN
Legal business name
WAUONA TRAINING AND CONSULTING INC
Practice address
6 Crestview Ter
Chaska, MN 55318-1205
Phone
(612) 743-7320
Fax
(952) 368-4685
NPI assigned
Jun 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2013

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

Authorized official

Name
Frederick Kenneth Harrison, M.S., L.I.C.S.W.NPI 1427100312
Title
Owner
Phone
(612) 743-7320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 06016 MN Primary

Addresses

Primary practice location

6 Crestview Ter
Chaska, MN 55318-1205

Mailing address

6 Crestview Ter
Chaska, MN 55318-1205
Phone (612) 743-7320

Other identifiers 1

IdentifierTypeStateIssuer
097357200MedicaidMN

National Provider Directory

National Provider Directory

Locations

11982 Portland Ave
Burnsville, MN 55337
Phone (952) 890-2807

207 N Chestnut St
Ste 235
Chaska, MN 55318
Phone (612) 743-7320

12700 Anderson Lakes Pkwy
Ste 103
Eden Prairie, MN 55344
Phone (952) 941-7861

902 Highway 15 S
Ste 390
Hutchinson, MN 55350
Phone (320) 234-5999

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362700800000",
    "number": "1295937381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CRESTVIEW TER",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181205",
            "telephone_number": "612-743-7320",
            "fax_number": "952-368-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CRESTVIEW TER",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181205",
            "telephone_number": "612-743-7320",
            "fax_number": "952-368-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUONA TRAINING AND CONSULTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2013-03-08",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-743-7320",
        "authorized_official_credential": "M.S., L.I.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "06016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097357200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaska, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; 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.