Active NPI
Acceptance Counseling & Recovery, Inc.
- Clinical Social Worker
- Wayzata, MN
National Provider Identifier
1710147038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 177764
- Legal business name
- ACCEPTANCE COUNSELING & RECOVERY, INC.
- Practice address
- 217 Minnetonka Ave S
Ste B
Wayzata, MN 55391-1703 - Phone
- (952) 220-3200
- Fax
- (952) 472-8161
- NPI assigned
- Jun 10, 2008
- Last updated
- Jun 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Trudy L Sutherland, LICSW
- Title
- Owner/Exective Director
- Phone
- (952) 220-3200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 177764 | MN | Primary |
Addresses
Primary practice location
217 Minnetonka Ave S
Ste B
Wayzata, MN 55391-1703
Mailing address
1761 Sumach LN
Mound, MN 55364-1242
Phone (952) 220-3200
National Provider Directory
National Provider DirectoryLocations
217 Minnetonka Ave S
Ste B
Wayzata, MN 55391
Phone (952) 220-3200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213056000000",
"number": "1710147038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1761 SUMACH LN",
"city": "MOUND",
"state": "MN",
"postal_code": "553641242",
"telephone_number": "952-220-3200",
"fax_number": "952-472-8161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 MINNETONKA AVE S",
"address_2": "STE B",
"city": "WAYZATA",
"state": "MN",
"postal_code": "553911703",
"telephone_number": "952-220-3200",
"fax_number": "952-472-8161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCEPTANCE COUNSELING & RECOVERY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-10",
"last_updated": "2008-06-10",
"status": "A",
"authorized_official_last_name": "SUTHERLAND",
"authorized_official_first_name": "TRUDY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER/EXECTIVE DIRECTOR",
"authorized_official_telephone_number": "952-220-3200",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "177764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayzata, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.