Individual provider Active NPI

Constance Joan Schweigert, MSW, LICSW

  • Clinical Social Worker
  • Golden Valley, MN
National Provider Identifier
1417089616
Registry record updated Dec 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7045 Issued in MN
Practice address
8421 Wayzata Blvd Ste 140
Golden Valley, MN 55426-1393
Phone
(952) 926-0436
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7045 MN Primary

Addresses

Primary practice location

8421 Wayzata Blvd Ste 140
Golden Valley, MN 55426-1393

Mailing address

8421 Wayzata Blvd Ste 140
Golden Valley, MN 55426-1393
Phone (952) 926-0436

Other identifiers 2

IdentifierTypeStateIssuer
191358100MedicaidMN
6G868SCOtherMNBLUE CROSS BLUE SHIELD OF

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

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325289600000",
    "number": "1417089616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8421 WAYZATA BLVD STE 140",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261393",
            "telephone_number": "952-926-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8421 WAYZATA BLVD STE 140",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261393",
            "telephone_number": "952-926-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWEIGERT",
        "first_name": "CONSTANCE",
        "middle_name": "JOAN",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2011-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "7045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191358100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "6G868SC",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2011; 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.