Individual provider Active NPI

Ramona Pearl Hemphill-Kent

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1669843918
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20946 Issued in MN
Practice address
1312 2ND St NE
Minneapolis, MN 55413-1132
Phone
(612) 231-3073
Fax
(218) 724-4041
NPI assigned
Oct 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20946 MN Primary

Addresses

Primary practice location

1312 2ND St NE
Minneapolis, MN 55413-1132

Mailing address

1312 2ND St NE
Minneapolis, MN 55413-1132
Phone (612) 231-3073

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
I20151204001203 MN Practitioner - Clinical Social Worker 1557661071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonder Behavioral Health and Wellness IncGroup PAC ID 4880987114, 23 clinicians

Practice addresses (Care Compare)

12301 Whitewater Dr
Suite 101
Minnetonka, MN 55343-9447
Phone (952) 999-6097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20946MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sonder Behavioral Health & Wellness, Inc. Clinical CurrentSince Sep 9, 2021 Accepting new patients

Locations

12301 Whitewater Dr
Ste 101
Minnetonka, MN 55343
Phone (952) 999-6097

Organizations & group practices 1

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": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1669843918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 2ND ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131132",
            "telephone_number": "612-231-3073",
            "fax_number": "218-724-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 2ND ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131132",
            "telephone_number": "612-231-3073",
            "fax_number": "218-724-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMPHILL-KENT",
        "first_name": "RAMONA",
        "middle_name": "PEARL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.