Individual provider Active NPI

Margaret Rose Ives, MSW, LICSW

  • Clinical Social Worker
  • Andover, MN
National Provider Identifier
1356051239
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26582 Issued in MN
Practice address
2705 Bunker Lake Blvd NW Ste 112
Andover, MN 55304-3785
Phone
(612) 900-0233
NPI assigned
Dec 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 26582 MN Primary

Addresses

Primary practice location

2705 Bunker Lake Blvd NW Ste 112
Andover, MN 55304-3785

Mailing address

2705 Bunker Lake Blvd NW Ste 112
Andover, MN 55304-3785

Other names 1

  • Margaret Rose Sheats Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250414002716 MN Practitioner - Clinical Social Worker 8628592490 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26582MNMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conscious Healing Counseling Inc CurrentSince Apr 2, 2025 Accepting new patients

Locations

2705 Bunker Lake Blvd NW
Ste 112
Andover, MN 55304
Phone (612) 900-0233

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1356051239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 BUNKER LAKE BLVD NW STE 112",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 BUNKER LAKE BLVD NW STE 112",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043785",
            "telephone_number": "612-900-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVES",
        "first_name": "MARGARET",
        "middle_name": "ROSE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "26582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "SHEATS",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Andover, MN

Sources for this page

Verify at the official NPI Registry.