Active NPI
Dana Michelle Escobar, LICSW
- Social Worker
- Burnsville, MN
National Provider Identifier
1619199270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 15546
- Practice address
- 1751 Southcross Dr W
Burnsville, MN 55306-7012 - Phone
- (952) 892-7690
- Fax
- (952) 898-4930
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 15546 | MN | Primary |
Addresses
Primary practice location
1751 Southcross Dr W
Burnsville, MN 55306-7012
Mailing address
2625 29TH Ave S
Apt 2
Minneapolis, MN 55406-3184
Phone (651) 295-2404
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 |
|---|---|---|---|
| 15546 | MN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264982400000",
"number": "1619199270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 29TH AVE S",
"address_2": "APT 2",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554063184",
"telephone_number": "651-295-2404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 SOUTHCROSS DR W",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553067012",
"telephone_number": "952-892-7690",
"fax_number": "952-898-4930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCOBAR",
"first_name": "DANA",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2010-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "15546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.