Individual provider Active NPI

Josephine Amaka Nwoke, MSW, LICSW

  • Clinical Social Worker
  • Brooklyn Park, MN
National Provider Identifier
1548330897
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12333 Issued in MN
Practice address
3621 85TH Ave N Ste 106
Brooklyn Park, MN 55443
Phone
(612) 702-6673
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12333 MN Primary

Addresses

Primary practice location

3621 85TH Ave N Ste 106
Brooklyn Park, MN 55443

Mailing address

7317 James Ave N
Brooklyn Park, MN 55444-2413
Phone (763) 291-5199

Other practice location 1

7954 University Ave NE
Fridley, MN 55432-1860
Phone (763) 780-3036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12333MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Copious Counseling Services, LLC Clinical Current Accepting new patients
Lee Carlson Center for Mental Health and Well-Being PastSince Apr 19, 2026 Accepting new patients
Associated Clinic of Psychology Inc PastSince Jul 1, 2001 Accepting new patients
Addiction Recovery Center PastSince Aug 1, 2016 Accepting new patients

Locations

3621 85th Ave N
Ste 106
Brooklyn Park, MN 55443
Phone (612) 702-6673

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1548330897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7317 JAMES AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554442413",
            "telephone_number": "763-291-5199",
            "fax_number": "763-201-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 85TH AVE N STE 106",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "55443",
            "telephone_number": "612-702-6673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7954 University Ave NE",
            "address_purpose": "LOCATION",
            "city": "Fridley",
            "state": "MN",
            "postal_code": "554321860",
            "country_code": "US",
            "telephone_number": "763-780-3036",
            "fax_number": "763-843-7423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWOKE",
        "first_name": "JOSEPHINE",
        "middle_name": "AMAKA",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "12333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.