Organization Active NPI

Midwest Eap Solutions

  • Clinical Social Worker
  • Saint Cloud, MN
National Provider Identifier
1669494605
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MIDWEST EAP SOLUTIONS
Practice address
1010 W Saint Germain St Ste 580
Saint Cloud, MN 56301-4166
Phone
(320) 253-1909
Fax
(320) 240-1501
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nicole M. Brenny
Title
Manager
Phone
(320) 253-1909

Specialties & licenses 1

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

Addresses

Primary practice location

1010 W Saint Germain St Ste 580
Saint Cloud, MN 56301-4166

Mailing address

1010 W Saint Germain St Ste 580
Saint Cloud, MN 56301-4166
Phone (320) 253-1909

Other identifiers 1

IdentifierTypeStateIssuer
47103MIOtherMNBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1015 W Saint Germain St
Saint Cloud, MN 56301
Phone (320) 253-1909

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669494605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W SAINT GERMAIN ST STE 580",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014166",
            "telephone_number": "320-253-1909",
            "fax_number": "320-240-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W SAINT GERMAIN ST STE 580",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014166",
            "telephone_number": "320-253-1909",
            "fax_number": "320-240-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST EAP SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRENNY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "320-253-1909"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "47103MI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.