Nora E Bacher, LICSW
Individual provider Active NPI Clinical Social Worker · Minneapolis, MN
NPI 1679985154 · NPPES record last updated Jun 30, 2023
Key facts
- NPI
- 1679985154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 28496 (MN)
- Practice address
- 701 Park Ave
Minneapolis, MN 55415-1623 - Phone
- (612) 873-3000
- NPI assigned
- Jun 2, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210825001923 | MN | Practitioner - Clinical Social Worker | 9739584046 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28496 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hennepin Healthcare System Inc | Current |
Accepting new patients | |
| Fraser Child and Family Center | Current |
Accepting new patients | |
| Hennepin Healthcare System, Inc | Current |
Accepting new patients |
Locations
9120 Springbrook Dr NW
Minneapolis, MN 55433
Phone (763) 231-2590
701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005
3333 University Ave SE
Minneapolis, MN 55414
Phone (612) 253-1139
701 Park Ave
#350
Minneapolis, MN 55415
Phone (612) 873-5334
2400 W 64th St
Richfield, MN 55423
Phone (612) 767-5166
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 28496 | MN | Yes |
Addresses
Primary practice location
701 Park Ave
Minneapolis, MN 55415-1623
Mailing address
701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-3000
Other practice location 1
3333 University Ave SE
Minneapolis, MN 55414-3325
Phone (612) 400-6114
Other providers in Minneapolis, MN
- Sarah E Bach
- Wendy Ziman Bach
- Veronika Bachanova
- Robert James Bache
- Inayat Bachelani
- Chloe M Bachman
- Peter Clay Bachmeier
- Elizabeth Bachorik
- Fouad Bachour
- Catherine Dory Bachur
All providers in Minneapolis, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.