Active NPI
Mary Kelly English, MSW, LICSW, LADC
- Clinical Social Worker
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 18470
- Practice address
- 2680 Snelling Ave N
Saint Paul, MN 55113-1876 - Phone
- (651) 647-2075
- Fax
- (651) 647-2200
- NPI assigned
- Feb 22, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 302836 | MN | |
| Mental Health Counselor | 101YM0800X | 18470 | MN | |
| Clinical Social Worker | 1041C0700X | 18470 | MN | Primary |
Addresses
Primary practice location
2680 Snelling Ave N
Saint Paul, MN 55113-1876
Mailing address
8170 33Rd Ave S # Ms 21110Q
Minneapolis, MN 55425-4516
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
451 Dunlap St N
Saint Paul, MN 55104-4619
Phone (651) 647-2200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302836 | MN | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Side Community Health Services, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Nystrom & Associates, LTD | Clinical | Current | Accepting new patients |
| Group Health, Inc. | Current | Accepting new patients | |
| West Side Community Health Services, Inc. | Current | Accepting new patients | |
| Shoreview Mental Health Center, LLC | Current | Accepting new patients |
Locations
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
2680 Snelling Ave N
Ste 200
Saint Paul, MN 55113
Phone (651) 326-1600
1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718
451 Dunlap St N
Saint Paul, MN 55104
Phone (651) 647-2100
5985 Rice Creek Pkwy
Ste 201
Shoreview, MN 55126
Phone (651) 348-7240
153 Cesar Chavez St
West Saint Paul, MN 55107
Phone (651) 222-1816
Interoperability endpoints
- mmccartyenglish285499@direct.healthpartners.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
- Clinical Social Worker
- New Brighton, MN
- NPI 1396750188
-
- Psychologist
- Shoreview, MN
- NPI 1558735779
-
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1821149964
-
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
-
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1043187289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1487951851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S # MS 21110Q",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554254516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2680 SNELLING AVE N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551131876",
"telephone_number": "651-647-2075",
"fax_number": "651-647-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGLISH",
"first_name": "MARY",
"middle_name": "KELLY",
"name_prefix": "Ms.",
"credential": "MSW, LICSW, LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-22",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "302836",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "18470",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "18470",
"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 Aug 1, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.