Organization Active NPI

Starfish Services LLC

  • Clinical Social Worker
  • Chanhassen, MN
National Provider Identifier
1659644342
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10404 Issued in MN
Legal business name
STARFISH SERVICES LLC
Practice address
600 W 78TH St
Suite 220a
Chanhassen, MN 55317-9585
Phone
(612) 567-4654
NPI assigned
Feb 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Authorized official

Name
Ms. Julie R Stender, MSW, LICSW
Title
Owner
Phone
(612) 567-4654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 10404 MN Primary

Addresses

Primary practice location

600 W 78TH St
Suite 220a
Chanhassen, MN 55317-9585

Mailing address

PO Box 954
Chanhassen, MN 55317-0954
Phone (612) 567-4654

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1659644342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 954",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553170954",
            "telephone_number": "612-567-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 78TH ST",
            "address_2": "SUITE 220A",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179585",
            "telephone_number": "612-567-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARFISH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-12",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "STENDER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-567-4654",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "10404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanhassen, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.