Active NPI
Bernard Alan Slutsky, M.A. LICSW
- Clinical Social Worker
- Maple Grove, MN
National Provider Identifier
1730289901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 02932
- Practice address
- 7225 Forestview LN N
Maple Grove, MN 55369-5501 - Phone
- (763) 541-8176
- Fax
- (763) 201-1095
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 02932 | MN | Primary |
Addresses
Primary practice location
7225 Forestview LN N
Maple Grove, MN 55369-5501
Mailing address
7225 Forestview LN N
Maple Grove, MN 55369-5501
Phone (763) 541-8176
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02932 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730289901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7225 FORESTVIEW LN N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553695501",
"telephone_number": "763-541-8176",
"fax_number": "763-201-1095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7225 FORESTVIEW LN N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553695501",
"telephone_number": "763-541-8176",
"fax_number": "763-201-1095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLUTSKY",
"first_name": "BERNARD",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "M.A. LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "02932",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.