Viviane Marie Zastrow, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17078 Issued in MN

Practice address

200 W 98TH St Ste 107
Bloomington, MN 55420-4858

Phone

(612) 968-6297

Fax

(612) 435-9842

NPI assigned

Jun 8, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Abintra Inc.Group PAC ID 0345589859, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Abintra, Inc

  dba Bloomington Mental Health Services

  • Clinical Social Worker
  • Bloomington, MN
  • NPI 1518412907
  Medicare reassignment Care Compare group NPD
• Southern Cities Clinic

  • General Practice Physician
  • Faribault, MN
  • NPI 1437218740
  NPD (past)

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1568756302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18986 LAKE DR E",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179348",
            "telephone_number": "952-401-4869",
            "fax_number": "952-474-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 98TH ST STE 107",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554204858",
            "telephone_number": "612-968-6297",
            "fax_number": "612-435-9842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18986 Lake DR E",
            "address_purpose": "LOCATION",
            "city": "Chanhassen",
            "state": "MN",
            "postal_code": "553179348",
            "country_code": "US",
            "telephone_number": "952-401-4869",
            "fax_number": "952-474-3652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZASTROW",
        "first_name": "VIVIANE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "17078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth Zadow
• Daniel James Zahn, PT
• Sarah Louise Zamastil, N.C.T.M.B.
• Zandu Health Initiative
• Anthony Joseph Zappa, PHARM.D.
• Tara Zauhar, MS, RDN, LD, CSSD
• Adam Zavalney, PT, DPT, CSCS
• Nancy L. Zeis, DDS
• Kelly I Zellmer-Wam, APRN, CNP
• Zencare Integrative Services LLC

• Clinical Social Worker in Bloomington, MN
• Providers in Bloomington, 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 Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.