NPIMap

Organization Active NPI

Seeds of Change Community Services LLC

  • Social Worker
  • Brooklyn Park, MN
National Provider Identifier
1558150359
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
SEEDS OF CHANGE COMMUNITY SERVICES LLC
Practice address
7040 Lakeland Ave N Ste 211
Brooklyn Park, MN 55428-5616
Phone
(763) 442-7353
Fax
(763) 441-1308
NPI assigned
May 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Darlene Sherice Riley, LICSWNPI 1295302966
Title
Executive Director
Phone
(763) 442-7353

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 Primary

Addresses

Primary practice location

7040 Lakeland Ave N Ste 211
Brooklyn Park, MN 55428-5616

Mailing address

7040 Lakeland Ave N Ste 211
Brooklyn Park, MN 55428-5616
Phone (763) 442-7353

Other names 1

  • EEDS OF CHANGE COMMUNITY SERVICES LLC Doing business as

National Provider Directory

National Provider Directory

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": "1746489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1558150359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 LAKELAND AVE N STE 211",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554285616",
            "telephone_number": "763-442-7353",
            "fax_number": "763-441-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7040 LAKELAND AVE N STE 211",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554285616",
            "telephone_number": "763-442-7353",
            "fax_number": "763-441-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEEDS OF CHANGE COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "SHERICE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "763-442-7353",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EEDS OF CHANGE COMMUNITY SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EEDS OF CHANGE COMMUNITY SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 7, 2025; 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.