Individual provider Active NPI

Carmeann Foster, LICSW

  • Clinical Social Worker
  • Brooklyn Center, MN
National Provider Identifier
1689408593
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19284 Issued in MN
Practice address
6120 Earle Brown Dr Ste 230
Brooklyn Center, MN 55430-4107
Phone
(612) 615-9821
Fax
(612) 605-0046
NPI assigned
Sep 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2024

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 19284 MN Primary

Addresses

Primary practice location

6120 Earle Brown Dr Ste 230
Brooklyn Center, MN 55430-4107

Mailing address

6120 Earle Brown Dr Ste 230
Brooklyn Center, MN 55430-4107
Phone (612) 615-9821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Inc Clinical CurrentSince Nov 14, 2024 Accepting new patients

Locations

6120 Earle Brown Dr
Ste 230
Minneapolis, MN 55430
Phone (612) 615-9821

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": "1725235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1689408593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 EARLE BROWN DR STE 230",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554304107",
            "telephone_number": "612-615-9821",
            "fax_number": "612-605-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 EARLE BROWN DR STE 230",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554304107",
            "telephone_number": "612-615-9821",
            "fax_number": "612-605-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "CARMEANN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "19284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

Verify at the official NPI Registry.