Active NPI
Naomi Carolyn Haskins, MSW, LICSW
- Clinical Social Worker
- Lakeville, MN
National Provider Identifier
1558760496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 20303
- Practice address
- 7580 160TH St W
Lakeville, MN 55044-8348 - Phone
- (952) 898-1133
- Fax
- (952) 435-6797
- NPI assigned
- Aug 16, 2014
- Last updated
- Oct 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 20303 | MN | Primary |
Addresses
Primary practice location
7580 160TH St W
Lakeville, MN 55044-8348
Mailing address
6944 Idsen Ave S
Cottage Grove, MN 55016
Phone (763) 438-7661
Other practice location 1
10591 165th St W
Lakeville, MN 55044-3528
Phone (952) 388-6531
Other names 1
- Naomi Carolyn Frazer
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20303 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True North Therapy LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Lakeville, MN
- NPI 1649715400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508976000000",
"number": "1558760496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6944 IDSEN AVE S",
"city": "COTTAGE GROVE",
"state": "MN",
"postal_code": "55016",
"telephone_number": "763-438-7661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7580 160TH ST W",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550448348",
"telephone_number": "952-898-1133",
"fax_number": "952-435-6797"
}
],
"practiceLocations": [
{
"address_1": "10591 165th St W",
"address_purpose": "LOCATION",
"city": "Lakeville",
"state": "MN",
"postal_code": "550443528",
"country_code": "US",
"telephone_number": "952-388-6531",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASKINS",
"first_name": "NAOMI",
"middle_name": "CAROLYN",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-16",
"last_updated": "2017-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "20303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NAOMI",
"last_name": "FRAZER",
"middle_name": "CAROLYN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lakeville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.