Active NPI
Wendy A Schulz, MSW, LICSW
- Clinical Social Worker
- Minneapolis, MN
National Provider Identifier
1669809174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 20743
- Practice address
- 5729 Bloomington Ave
Minneapolis, MN 55417-2642 - Phone
- (612) 472-4775
- NPI assigned
- Sep 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 20743 | MN | Primary |
Addresses
Primary practice location
5729 Bloomington Ave
Minneapolis, MN 55417-2642
Mailing address
5729 Bloomington Ave
Minneapolis, MN 55417-2642
Phone (612) 462-4775
Other practice location 1
1900 Silver Lake Rd NW
Suite 115
New Brighton, MN 55112-1786
Phone (651) 628-4993
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 |
|---|---|---|---|
| 20743 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Koru Holistic Counseling | Past | Accepting new patients | |
| Family Support Services Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Minneapolis, MN
- NPI 1730672106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1669809174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5729 BLOOMINGTON AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554172642",
"telephone_number": "612-462-4775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5729 BLOOMINGTON AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554172642",
"telephone_number": "612-472-4775"
}
],
"practiceLocations": [
{
"address_1": "1900 Silver Lake Rd NW",
"address_2": "Suite 115",
"address_purpose": "LOCATION",
"city": "New Brighton",
"state": "MN",
"postal_code": "551121786",
"country_code": "US",
"telephone_number": "651-628-4993",
"fax_number": "651-628-0411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHULZ",
"first_name": "WENDY",
"middle_name": "A",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-28",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "20743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.