Individual provider Active NPI

Bhargavi Shiledar Baxi Ghate, LICSW

  • Clinical Social Worker
  • St Louis Park, MN
National Provider Identifier
1467622498
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13697 Issued in MN
Practice address
5009 Excelsior Blvd
Suite 134
Saint Louis Park, MN 55416-3041
Phone
(612) 360-5685
NPI assigned
Mar 5, 2008
Last updated
Mar 5, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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 13697 MN Primary

Addresses

Primary practice location

5009 Excelsior Blvd
Suite 134
Saint Louis Park, MN 55416-3041

Mailing address

5009 Excelsior Blvd
Suite 134
Saint Louis Park, MN 55416-3041

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100623000355 MN Practitioner - Clinical Social Worker 2466583299 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

2450 Riverside Ave
Minneapolis, MN 55454-1450

717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
75.41
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13697MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Fairview Express Care Current Accepting new patients
Psych Recovery Inc Clinical CurrentSince Feb 20, 2010 Accepting new patients
Fairview Express Care CurrentSince Oct 1, 2020 Accepting new patients
Healtheast Medical Research Institute Clinical CurrentSince Mar 22, 2020 Accepting new patients
Healtheast Medical Research Institute CurrentSince Mar 22, 2020 Accepting new patients
Fairview Health Services CurrentSince Mar 19, 2011 Accepting new patients
Fairview Express Care CurrentSince Oct 1, 2020 Accepting new patients
Lacuna for Integrative Therapies Past Accepting new patients
Franklin Family Services LLC PastSince Mar 30, 2025 Accepting new patients
Introspective Psychotherapies Clinical PastSince Sep 8, 2010 Accepting new patients
Psychiatric Recovery PA Past Accepting new patients

Locations

2450 Riverside Ave
Ste F140
Minneapolis, MN 55454
Phone (651) 464-4847

400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203

600 W 98th St
Minneapolis, MN 55420
Phone (952) 881-2651

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

2550 University Ave W
Ste 229N
Saint Paul, MN 55114
Phone (651) 645-3115

480 Highway 96 E
Vadnais Heights, MN 55127
Phone (651) 326-5900

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1467622498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 EXCELSIOR BLVD",
            "address_2": "SUITE 134",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554163041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 EXCELSIOR BLVD",
            "address_2": "SUITE 134",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554163041",
            "telephone_number": "612-360-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHATE",
        "first_name": "BHARGAVI",
        "middle_name": "SHILEDAR BAXI",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "13697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

Verify at the official NPI Registry.