St. Croix Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20166 Issued in MN

Legal business name

ST. CROIX COUNSELING

Practice address

3394 Lake Elmo Ave N
Lake Elmo, MN 55042-4438

Phone

(651) 303-5522

NPI assigned

Apr 18, 2012

Last updated

Apr 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan WhalenNPI 1417220344

Title

Licsw/Owner/Therapist

Phone

(651) 303-5522

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Whalen, LICSW

  • Clinical Social Worker
  • Lake Elmo, MN
  • NPI 1417220344
  NPD (past) Authorized official

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1568729358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144",
            "address_2": "3394 LAKE ELMO AVE. NO.",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550420144",
            "telephone_number": "651-303-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3394 LAKE ELMO AVE N",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550424438",
            "telephone_number": "651-303-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CROIX COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "WHALEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "LICSW/OWNER/THERAPIST",
        "authorized_official_telephone_number": "651-303-5522"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Isabel Spence Alguire, MED, LPCC
• Carlene Marie Springer, LICSW
• St Croix Valley Dental PLLC (City Walk Dental)
• St Croix Valley Dental PLLC (Lake Elmo Dental)
• St. Croix Anesthesia Associates, P.a.
• St. Croix Orthopaedics, P.a.
• Stanley J. Antolak Jr. MD PA (Center for Urologic and Pelvic Pain)
• Steady Strides LLC
• Laurie Lee Stodola, D.D.S.
• Hannah Strom, PT

• Clinical Social Worker in Lake Elmo, MN
• Providers in Lake Elmo, 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 Apr 18, 2012; 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.