Individual provider Active NPI

Camryn Joy Hodny, MSW, LGSW

  • Social Worker
  • Maple Grove, MN
National Provider Identifier
1700651296
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
32417 Issued in MN
Practice address
9800 Fernbrook LN N
Maple Grove, MN 55369-9747
Phone
(763) 391-8700
NPI assigned
Nov 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 32417 MN Primary

Addresses

Primary practice location

9800 Fernbrook LN N
Maple Grove, MN 55369-9747

Mailing address

598 Lincoln Ave Apt 204
Saint Paul, MN 55102-2873

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1700651296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 LINCOLN AVE APT 204",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 FERNBROOK LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553699747",
            "telephone_number": "763-391-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODNY",
        "first_name": "CAMRYN",
        "middle_name": "JOY",
        "credential": "MSW, LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "32417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.