Active NPI
Sharon Grostephan, Licsw
- Social Worker
- St Louis Park, MN
National Provider Identifier
1497812622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LICSW 841
- Legal business name
- SHARON GROSTEPHAN, LICSW
- Practice address
- 1660 S Highway 100
Suite 428
St Louis Park, MN 55416-1533 - Phone
- (612) 597-6585
- NPI assigned
- Jan 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sharon Grostephan, LICSW
- Title
- Licensed Social Worker
- Phone
- (763) 441-9712
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LICSW 841 | MN | Primary |
Addresses
Primary practice location
1660 S Highway 100
Suite 428
St Louis Park, MN 55416-1533
Mailing address
1660 S Highway 100
Suite 428
St Louis Park, MN 55416-1533
Phone (612) 597-6585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 834358600 | Medicaid | MN |
National Provider Directory
National Provider DirectoryLocations
1660 Highway 100 S
Ste 428
St Louis Park, MN 55416
Phone (763) 541-1973
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- St Louis Park, MN
- NPI 1548243181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556496000000",
"number": "1497812622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 S HIGHWAY 100",
"address_2": "SUITE 428",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554161533",
"telephone_number": "612-597-6585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 S HIGHWAY 100",
"address_2": "SUITE 428",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554161533",
"telephone_number": "612-597-6585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHARON GROSTEPHAN, LICSW",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2019-04-29",
"status": "A",
"authorized_official_last_name": "GROSTEPHAN",
"authorized_official_first_name": "SHARON",
"authorized_official_title_or_position": "LICENSED SOCIAL WORKER",
"authorized_official_telephone_number": "763-441-9712",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "MN",
"license": "LICSW 841",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "834358600",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.