Skinner-Drawz Psychotherapy L.L.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SKINNER-DRAWZ PSYCHOTHERAPY L.L.C.

Practice address

1001 Twelve Oaks Center Dr Ste 1002a
Wayzata, MN 55391-4301

Phone

(612) 232-6894

NPI assigned

Aug 29, 2022

Organization subpart

No

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

Authorized official

Name

Brooke Alison Skinner-Drawz, LICSWNPI 1477920056

Title

Owner

Phone

(612) 232-6894

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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

• Brooke Skinner-Drawz, LICSW, PHD

  • Clinical Social Worker
  • Golden Valley, MN
  • NPI 1477920056
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1760102131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 SPARROW RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553453219",
            "telephone_number": "612-232-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TWELVE OAKS CENTER DR STE 1002A",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914301",
            "telephone_number": "612-232-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINNER-DRAWZ PSYCHOTHERAPY L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "SKINNER-DRAWZ",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "ALISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-232-6894",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MINNETOSA",
            "identifier": "17638",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis K Showalter
• Elyse Simpson
• Varun Singh, BDS
• Julia Alexandria Sinople
• Susan Elizabeth Sirianni, MA, LMFT
• Oraphanh Vongpheth Smith, RN
• Snyders Drug
• Sociability, PLLC
• Patricia Ann Sorensen, M.D.
• Carmen Gloria Soriano Brucher, MA, LAMFT

• Clinical Social Worker in Wayzata, MN
• Providers in Wayzata, 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 Jan 11, 2023; 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.