Active NPI
Gail Joyce Schulstrom, MSW, LICSW
- Social Worker
- Minnetonka, MN
National Provider Identifier
1659681856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- #3941
- Practice address
- 12601 Ridgedale Drive, Ridgedale Service Center
Hennepin County Children'S Mental Health Crisis Service
Minnetonka, MN 55305 - Phone
- (612) 348-8801
- Fax
- (952) 541-6270
- NPI assigned
- Oct 21, 2010
- 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 | #3941 | MN | Primary |
Addresses
Primary practice location
12601 Ridgedale Drive, Ridgedale Service Center
Hennepin County Children'S Mental Health Crisis Service
Minnetonka, MN 55305
Mailing address
12601 Ridgedale Drive Ridgedale Service Center
Hennepin County Children'S Mental Health Crisis Service
Minnetonka, MN 55305
Phone (612) 348-8801
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #3941 | MN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287619200000",
"number": "1659681856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12601 RIDGEDALE DRIVE RIDGEDALE SERVICE CENTER",
"address_2": "HENNEPIN COUNTY CHILDREN'S MENTAL HEALTH CRISIS SERVICE",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "55305",
"telephone_number": "612-348-8801",
"fax_number": "952-541-6270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12601 RIDGEDALE DRIVE, RIDGEDALE SERVICE CENTER",
"address_2": "HENNEPIN COUNTY CHILDREN'S MENTAL HEALTH CRISIS SERVICE",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "55305",
"telephone_number": "612-348-8801",
"fax_number": "952-541-6270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULSTROM",
"first_name": "GAIL",
"middle_name": "JOYCE",
"name_prefix": "Ms.",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-21",
"last_updated": "2010-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "#3941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.