Organization Active NPI

Sharon Grostephan, Licsw

  • Social Worker
  • St Louis Park, MN
National Provider Identifier
1497812622
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LICSW 841 Issued in MN
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

Updated by the provider on Apr 29, 2019

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

Authorized official

Name
Ms. Sharon Grostephan, LICSWNPI 1548243181
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)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
834358600MedicaidMN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.