Active NPI
Wauona Training and Consulting Inc
- Clinical Social Worker
- Chaska, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 06016
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 097357200 | Medicaid | MN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Chaska, MN
- NPI 1427100312
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.