Individual provider Active NPI

Hanna Dines Zipes, MSW, LGSW, LADC

  • Clinical Social Worker
  • St Louis Park, MN
National Provider Identifier
1376972521
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21464 Issued in MN
Practice address
3381 Gorham Ave
St Louis Park, MN 55426-4240
Phone
(612) 581-3860
NPI assigned
Nov 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 303706 MN
Clinical Social Worker 1041C0700X 21464 MN Primary

Addresses

Primary practice location

3381 Gorham Ave
St Louis Park, MN 55426-4240

Mailing address

3513 Hennepin Ave
Apt 115
Minneapolis, MN 55408-3831
Phone (612) 244-7704

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
303706MNMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1376972521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3513 HENNEPIN AVE",
            "address_2": "APT 115",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083831",
            "telephone_number": "612-244-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3381 GORHAM AVE",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264240",
            "telephone_number": "612-581-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIPES",
        "first_name": "HANNA",
        "middle_name": "DINES",
        "name_prefix": "Ms.",
        "credential": "MSW, LGSW, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303706",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "21464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

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

Verify at the official NPI Registry.