Active NPI
Nancy Joseph-Goldfarb, LGSW
- Social Worker
- Minneapolis, MN
National Provider Identifier
1417400870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 23318
- Practice address
- 2001 Bloomington Ave
Minneapolis, MN 55404-3074 - Phone
- (612) 301-0939
- NPI assigned
- Aug 2, 2016
- Last updated
- Aug 2, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 23318 | MN | Primary |
Addresses
Primary practice location
2001 Bloomington Ave
Minneapolis, MN 55404-3074
Mailing address
2001 Bloomington Ave
Minneapolis, MN 55404-3074
Phone (612) 301-0939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Mullenbach, PHD, LP, Inc | Current | Accepting new patients |
Locations
6550 York Ave S
Ste 417
Minneapolis, MN 55435
Phone (952) 426-3034
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470096000000",
"number": "1417400870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BLOOMINGTON AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043074",
"telephone_number": "612-301-0939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 BLOOMINGTON AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043074",
"telephone_number": "612-301-0939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH-GOLDFARB",
"first_name": "NANCY",
"credential": "LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-02",
"last_updated": "2016-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "23318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.