Brian Anthony Theine, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11273 Issued in MN

Practice address

160 Kellogg Blvd E
Ms 8200
Saint Paul, MN 55101-1420

Phone

(651) 266-4392

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1477617991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 38TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063411",
            "telephone_number": "651-266-4392",
            "fax_number": "651-266-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 KELLOGG BLVD E",
            "address_2": "MS 8200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011420",
            "telephone_number": "651-266-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEINE",
        "first_name": "BRIAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "11273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Winkley Company
• The Work Connection
• Saiyud Theanheng
• Thechirospot
• Kari Thein
• Aaron G Theis, DPT
• Kasey Ann Theisen Sturm, M.D.
• Andrea Marie Thelen, B.S, M.A.
• Sandra Lynn Thelen, ATC
• Rudy G Thell, MD

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.