Lynnae Ademuwagun, LICSW
Individual provider Active NPI Clinical Social Worker · Minneapolis, MN
NPI 1386401149 · NPPES record last updated Feb 28, 2024
Key facts
- NPI
- 1386401149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 2651 Newton Ave N
Minneapolis, MN 55411-1844 - Phone
- (507) 319-6360
- NPI assigned
- Feb 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
2651 Newton Ave N
Minneapolis, MN 55411-1844
Mailing address
2651 Newton Ave N
Minneapolis, MN 55411-1844
Other providers in Minneapolis, MN
- Iftu Raya Adem
- Lina Y Adem
- Sabontu Sufiyan Adem
- Seyoum Tadesse Adem
- Shamsi Yusuf Adem
- Adna Aden
- Ayan Muktar Aden
- Emran Aden
- Farhia Aden
- Farhia Abdullahi Aden
All providers in Minneapolis, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.