NPIMap

Organization Active NPI

Community Involvement Programs

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1730335142
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15119 Issued in MN
Legal business name
COMMUNITY INVOLVEMENT PROGRAMS
Practice address
1600 Broadway St NE
Minneapolis, MN 55413-2617
Phone
(612) 362-4444
Fax
(612) 362-4479
NPI assigned
Aug 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Authorized official

Name
John Everett
Title
Executive Director
Phone
(612) 362-4413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 15119 MN Primary

Addresses

Primary practice location

1600 Broadway St NE
Minneapolis, MN 55413-2617

Mailing address

1600 Broadway St NE
Minneapolis, MN 55413-2617
Phone (612) 362-4444

National Provider Directory

National Provider Directory
Tax ID family
Community Involvement Programs5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1730335142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 BROADWAY ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132617",
            "telephone_number": "612-362-4444",
            "fax_number": "612-362-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BROADWAY ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132617",
            "telephone_number": "612-362-4444",
            "fax_number": "612-362-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY INVOLVEMENT PROGRAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-362-4413"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "15119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.