Andrea Heezen Vasquez, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

14993 Issued in MN

Practice address

7616 Currell Blvd Ste 100
Woodbury, MN 55125-2295

Phone

(651) 259-9750

Fax

(651) 259-9790

NPI assigned

Mar 9, 2007

Sex

Female

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)

Enrolled

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.

• Prairie St Johns

  • Psychiatric Hospital
  • Fargo, ND
  • NPI 1417901000
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760513790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7616 CURRELL BLVD STE 100",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252295",
            "telephone_number": "651-259-9750",
            "fax_number": "651-259-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7616 CURRELL BLVD STE 100",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252295",
            "telephone_number": "651-259-9750",
            "fax_number": "651-259-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "ANDREA",
        "middle_name": "HEEZEN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "14993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Somchine Vang
• Zoua Vang
• Vantage Point Eyes PLLC
• Haley Jane Vanwinkle
• Christopher S Vara, MD
• Kelly Ann Veit, AUD CCC A
• Katherine Vellabati, RD
• Jared D Venier, OTR/L
• Teaira M Vennes
• Jessica McLean Vera

• Social Worker in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Social Worker in Minnesota

• 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.

Verify at the official NPI Registry.