Merging Rivers LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MERGING RIVERS LLC

Practice address

4905 31St Ave S
Minneapolis, MN 55417-1403

Phone

(952) 900-2749

Fax

(952) 333-7493

NPI assigned

Oct 24, 2024

Organization subpart

No

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

Authorized official

Name

Alexander Blake Sullivan, LCSW, LICSW, LIMHPNPI 1922622042

Title

Owner

Phone

(952) 900-2749

Specialties & licenses 1

Addresses

Tax ID family

Merging Rivers LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Merging Rivers LLC

  • Clinical Social Worker
  • Roseville, MN
  • NPI 1649091588
  NPD tax ID

Practitioners 1

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

• Alexander Blake Sullivan, LCSW, LICSW, LIMHP

  • Clinical Social Worker
  • Roseville, MN
  • NPI 1922622042
  NPD Authorized official

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1366264012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 31ST AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171403",
            "telephone_number": "952-900-2749",
            "fax_number": "952-333-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 31ST AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171403",
            "telephone_number": "952-900-2749",
            "fax_number": "952-333-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERGING RIVERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-900-2749",
        "authorized_official_credential": "LCSW, LICSW, LIMHP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nabony Merdassa
• Liza N Meredith, PHD
• Marcia Meredith, NP
• Nazmeen Merfeld, M.D.
• Yodit Hailemchael Mergia
• Mary Ann Brandenburg Merideth, CRNA
• Meridian Behaivoral Health
• Meridian Behavioral Health
• Meridian Behavioral Health
• Meridian Clinic

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, 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 Oct 24, 2024; 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.