Individual provider Active NPI

Samantha Gardow, MSW, LGSW

  • Social Worker
  • Saint Paul, MN
National Provider Identifier
1376339176
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
33441 Issued in MN
Practice address
333 Grand Ave Ste 205
Saint Paul, MN 55102-2583
Phone
(651) 294-2307
NPI assigned
Apr 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33441 MN Primary

Addresses

Primary practice location

333 Grand Ave Ste 205
Saint Paul, MN 55102-2583

Mailing address

333 Grand Ave Ste 205
Saint Paul, MN 55102-2583

Other practice location 1

649 Dayton Ave
Saint Paul, MN 55104-6631
Phone (612) 436-4840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
33441MNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jennie Yngsdahl , Ma, Licensed Psychologist, LLC CurrentSince Apr 20, 2025 Accepting new patients

Locations

333 Grand Ave
Ste 205
Saint Paul, MN 55102
Phone (651) 294-2307

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": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1376339176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GRAND AVE STE 205",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GRAND AVE STE 205",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022583",
            "telephone_number": "651-294-2307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "649 Dayton Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551046631",
            "country_code": "US",
            "telephone_number": "612-436-4840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDOW",
        "first_name": "SAMANTHA",
        "credential": "MSW, LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "33441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.