Marco Antonio Murrieta Jr., M.S.W.,LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21920 Issued in MN

Practice address

3548 Bryant Ave S
Minneapolis, MN 55408-4119

Phone

(612) 822-8227

Fax

(612) 825-4204

NPI assigned

Aug 24, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Mental Health Collective

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Minneapolis, MN
  • NPI 1932126794
  NPD (past)
• Watercourse Counseling Center

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1770847246
  NPD (past)

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1720394059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3548 BRYANT AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084119",
            "telephone_number": "612-822-8227",
            "fax_number": "612-825-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3548 BRYANT AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084119",
            "telephone_number": "612-822-8227",
            "fax_number": "612-825-4204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5005 1/2 34th Ave S",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554171542",
            "country_code": "US",
            "telephone_number": "612-271-5372",
            "fax_number": "612-824-7341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRIETA",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "name_suffix": "Jr.",
        "credential": "M.S.W.,LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-24",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "21920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip D Murray, M.D.
• Sean Patrick Murray, RN, CNS
• Shanelle Mone Murray, PHARMD
• Steven J Murray, LPC
• Tamika Ann Murray
• Amal Abdilkadir Mursal
• Ayan Mursal
• Ayan A Mursal
• Iqra Mohamed Mursal
• Nawal Mursal

• 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 Mar 27, 2018; 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.