Active NPI
Annika Liese Branson Homstad, LGSW
- Clinical Social Worker
- Saint Paul, MN
National Provider Identifier
1437976800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 32842
- Practice address
- 1449 Cleveland Ave N
Saint Paul, MN 55108-1413 - Phone
- (888) 364-5977
- NPI assigned
- Sep 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 32842 | MN | Primary |
Addresses
Primary practice location
1449 Cleveland Ave N
Saint Paul, MN 55108-1413
Mailing address
1295 Bandana Blvd N Ste 210
Saint Paul, MN 55108-5115
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32842 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1437976800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1295 BANDANA BLVD N STE 210",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551085115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1449 CLEVELAND AVE N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551081413",
"telephone_number": "888-364-5977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMSTAD",
"first_name": "ANNIKA",
"middle_name": "LIESE BRANSON",
"credential": "LGSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-25",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "32842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.