Cheryl Kazemek, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11253 Issued in MN

Practice address

1313 5TH St SE
Suite 314
Minneapolis, MN 55414-4504

Phone

(612) 435-7205

Fax

(612) 435-7201

NPI assigned

Oct 11, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Reentry House, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Minneapolis, MN
  • NPI 1679656771
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1619066537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 5TH ST SE",
            "address_2": "SUITE 314",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554144504",
            "telephone_number": "612-435-7205",
            "fax_number": "612-435-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 5TH ST SE",
            "address_2": "SUITE 314",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554144504",
            "telephone_number": "612-435-7205",
            "fax_number": "612-435-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZEMEK",
        "first_name": "CHERYL",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "11253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahrior Imrul Kayes, ANP-BC, C.N.P.
• Mareve Kayfes, M.D.
• Kaymedix Courier LLC.
• Marah Kays, DO
• David Kazadi, MD, PHD
• Amena Kazmi
• Chelsea Kazmierczak-Goethel, MS, CNS, LN
• Bonnie Keane, APRN, CNP
• James P Kearin, PA -C
• Elizabeth R Kearney, MD

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, 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 Jul 9, 2007; 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.