Hopeallianz Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10662 Issued in MN

Legal business name

HOPEALLIANZ INC

Practice address

4205 Lancaster LN N
Suite 111
Plymouth, MN 55441-1700

Phone

(763) 546-6624

Fax

(763) 332-5006

NPI assigned

Jul 9, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Jody L Friesen Grande, PHD

Title

Ceo

Phone

(763) 546-6624

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1120867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1710985114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 LANCASTER LN N",
            "address_2": "SUITE 111",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554411700",
            "telephone_number": "763-546-6624",
            "fax_number": "763-332-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 LANCASTER LN N",
            "address_2": "SUITE 111",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554411700",
            "telephone_number": "763-546-6624",
            "fax_number": "763-332-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEALLIANZ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-09",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "GRANDE",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "L FRIESEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-546-6624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "10662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "475522700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.