Active NPI
Joseph Haselman, LICSW
- Clinical Social Worker
- Minnetonka, MN
National Provider Identifier
1396698437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 31663
- Practice address
- 5125 County Road 101 Ste 300
Minnetonka, MN 55345-4157 - Phone
- (952) 932-7277
- Fax
- (952) 932-9827
- NPI assigned
- Feb 18, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 31663 | MN | Primary |
Addresses
Primary practice location
5125 County Road 101 Ste 300
Minnetonka, MN 55345-4157
Mailing address
1411 Melrose Ave
St Louis Park, MN 55426-1843
Phone (612) 554-5974
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1411 Melrose Ave
St Louis Park, MN 55426-1843
5125 County Rd
101 Suite 300
Minnetonka, MN 55345
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31663 | MN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Relate Inc | Current | Accepting new patients |
Locations
5125 County Road 101
Ste 300
Minnetonka, MN 55345
Phone (763) 241-3400
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": "1771372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1396698437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 MELROSE AVE",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554261843",
"telephone_number": "612-554-5974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5125 COUNTY ROAD 101 STE 300",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553454157",
"telephone_number": "952-932-7277",
"fax_number": "952-932-9827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASELMAN",
"first_name": "JOSEPH",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-18",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "31663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.