Visceralizations PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

VISCERALIZATIONS PLLC

Practice address

7400 Metro Blvd Ste 211
Edina, MN 55439-2321

Phone

(612) 940-2136

NPI assigned

Dec 21, 2023

Organization subpart

No

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

Authorized official

Name

Jacob Schuchman Falk, LICSWNPI 1750845244

Title

Owner, Chief Manager

Phone

(612) 940-2136

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Schuchman Falk, M.S.W., L.I.C.S.W

  • Clinical Social Worker
  • Edina, MN
  • NPI 1750845244
  NPD Authorized official

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1508635368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 METRO BLVD STE 211",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392321",
            "telephone_number": "612-940-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 METRO BLVD STE 211",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392321",
            "telephone_number": "612-940-2136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7831 E Bush Lake Rd Ste 200N",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554393167",
            "country_code": "US",
            "telephone_number": "612-940-2136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VISCERALIZATIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "SCHUCHMAN FALK",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER, CHIEF MANAGER",
        "authorized_official_telephone_number": "612-940-2136",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750845244",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Edina, MN
• Providers in Edina, 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 Jun 17, 2024; 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.