Elite Professional Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ELITE PROFESSIONAL SERVICES, LLC

Practice address

10374 Grand Forest LN
Woodbury, MN 55129

Phone

(651) 207-3887

NPI assigned

Apr 6, 2022

Last updated

Apr 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marnie Tuenge, MSW, LICSWNPI 1801325402

Title

Owner

Phone

(651) 207-3887

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elite Professional Services, LLC Other name

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marnie Tuenge

  • Clinical Social Worker
  • Woodbury, MN
  • NPI 1801325402
  NPD Authorized official

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1386385912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7595 CURRELL BLVD",
            "address_2": "PO BOX 25641",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "55125",
            "telephone_number": "651-207-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10374 GRAND FOREST LN",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "55129",
            "telephone_number": "651-207-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PROFESSIONAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "TUENGE",
        "authorized_official_first_name": "MARNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-207-3887",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801325402",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "eliteprofessionalsvs@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "address_1": "10374 Grand Forest Ln",
            "city": "Woodbury",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Elite Professional Services, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David J Eichhorn, LADC, CSAC
• Leah Eisel
• Lisa Eisenbacher, BS
• Ashton Elizabeth Ekdom, MA, OTR/L
• Bailey Marie Eklund
• Brayden Douglas Schiller Elle
• Matthew John Ellenberger
• Barbara Ellesson, CRNA
• Rachel Ann Ellingson, DPT
• Brianna Eve Elliott

• Clinical Social Worker in Woodbury, MN
• Providers in Woodbury, 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 Apr 6, 2022; 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.