Individual provider Active NPI

Emma Yang, MSW, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1629327630
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23997 Issued in MN
Practice address
402 University Ave E
Saint Paul, MN 55130-4400
Phone
(651) 472-4148
NPI assigned
Sep 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X 23997 MN Primary

Addresses

Primary practice location

402 University Ave E
Saint Paul, MN 55130-4400

Mailing address

736 Desoto Street
Saint Paul, MN 55130-3630
Phone (651) 472-4148

Other practice location 1

2555 E Colorado Blvd
Suite 100
Pasadena, CA 91107-6622
Phone (626) 577-2261

Other practice location 2

980 Rice St
Saint Paul, MN 55117-4949
Phone (651) 326-9020

Other names 1

  • Ms. Mai Yang Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200207002484 MN Practitioner - Clinical Social Worker 3870929938 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Side Community Health Services, Inc. CurrentSince Jun 17, 2024 Accepting new patients
Ramsey County Mental Health CurrentSince Jan 31, 2024 Accepting new patients
Healtheast Medical Research Institute Clinical CurrentSince Feb 24, 2020 Accepting new patients
Ramsey County Mental Health Center CurrentSince Jan 31, 2024 Accepting new patients
West Side Community Health Services, Inc. CurrentSince Jun 17, 2024 Accepting new patients
Ramsey County Mental Health Center Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Feb 24, 2020 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
West Side Community Health Services, Inc. Current Accepting new patients

Locations

895 7th St E
Saint Paul, MN 55106
Phone (651) 793-2250

1919 University Ave W
Ste 200
Saint Paul, MN 55104
Phone (651) 266-7999

980 Rice St
Saint Paul, MN 55117
Phone (651) 326-9020

1919 University Ave W
Ste 20
Saint Paul, MN 55104

153 Cesar Chavez St
West Saint Paul, MN 55107
Phone (651) 222-1816

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1629327630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 DESOTO STREET",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551303630",
            "telephone_number": "651-472-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 UNIVERSITY AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551304400",
            "telephone_number": "651-472-4148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2555 E Colorado Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911076622",
            "country_code": "US",
            "telephone_number": "626-577-2261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "980 Rice St",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551174949",
            "country_code": "US",
            "telephone_number": "651-326-9020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "EMMA",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "23997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAI",
            "last_name": "YANG",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.