Active NPI
Susan K. Searle Inc.
- Clinical Social Worker
- St Louis Park, MN
National Provider Identifier
1760695175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 540
- Legal business name
- SUSAN K. SEARLE INC.
- Practice address
- 5009 Excelsior Blvd
Suite 112
St Louis Park, MN 55416-3041 - Phone
- (952) 925-8752
- NPI assigned
- May 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Susan Kay Searle, LICSW
- Title
- Owner
- Phone
- (952) 925-8752
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 540 | MN | Primary |
Addresses
Primary practice location
5009 Excelsior Blvd
Suite 112
St Louis Park, MN 55416-3041
Mailing address
5009 Excelsior Blvd
Suite 112
St Louis Park, MN 55416-3041
Phone (952) 925-8752
National Provider Directory
National Provider DirectoryLocations
5009 Excelsior Blvd
Ste 112
St Louis Park, MN 55416
Phone (952) 925-8752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190851200000",
"number": "1760695175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5009 EXCELSIOR BLVD",
"address_2": "SUITE 112",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554163041",
"telephone_number": "952-925-8752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5009 EXCELSIOR BLVD",
"address_2": "SUITE 112",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554163041",
"telephone_number": "952-925-8752"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN K. SEARLE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-08",
"last_updated": "2007-09-27",
"status": "A",
"authorized_official_last_name": "SEARLE",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "952-925-8752",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.