Anita Doyle PA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

07050 Issued in MN

Legal business name

ANITA DOYLE PA

Practice address

3754 Pleasant Ave
Minneapolis, MN 55409-1277

Phone

(952) 926-7063

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Anita M Doyle, LICSWNPI 1144341504

Title

President

Phone

(952) 926-7063

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anita Doyle, MSW

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1144341504
  Medicare reassignment NPD Authorized official
• Heller Sue Landecker, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1972695161
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720133291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3754 PLEASANT AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091277",
            "telephone_number": "952-926-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3754 PLEASANT AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091277",
            "telephone_number": "952-926-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANITA DOYLE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-926-7063",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "07050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5190550",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "03655DO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "62-68336",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mosope Ani
• Katherine Anicescu
• Falilat Boyede Anifowoshe, MD
• Flora Kafui Anifrani
• Anishinaabe Endaad LLC
• Afshan Anjum, M.B. B.S.
• Zurya Shakeel Anjum, MBBS
• Jacob Scott Ankeny, MD
• Amanda Sue Anker, MA, LADC
• Mary M Ankerstjerne, CRNA

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.