Elizabeth Henderson Shreve, MSW, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

20314 Issued in MN

Practice address

3646 Van Buren St NE
Minneapolis, MN 55418-1216

Phone

(612) 203-8437

NPI assigned

Mar 24, 2010

Last updated

Jul 1, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elizabeth Shreve Inc.

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1457076424
  Medicare reassignment NPD Authorized official
• Lyn-Lake Psychotherapy and Wellness LTD.

  • Clinical Psychologist
  • Minneapolis, MN
  • NPI 1609355163
  Medicare reassignment
• The Family Partnership

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1487708616
  NPD (past)
• Tricia Hendren, Inc.

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1235847930
  NPD (past)

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1366766032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3646 VAN BUREN ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554181216",
            "telephone_number": "612-203-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3646 VAN BUREN ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554181216",
            "telephone_number": "612-203-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHREVE",
        "first_name": "ELIZABETH",
        "middle_name": "HENDERSON",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "20314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn S Shrawny, M.D.
• Sabina Shrestha Dangol, CNP
• Jaimie Shrestha
• Prashant Shrestha, M.D.
• Sofia Shrestha, PHARMD
• Michael R Shreve, M.D.
• Shriners Hospitals for Children
• Shriners Hospitals for Children
• Shriners Hospitals for Children
• Jennifer Evangeline Shriver, MSW, LICSW

• Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.