NPIMap

Organization Active NPI

Cornerhouse Interagency Child Abuse Evaluation Center

Doing business as CornerHouse

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1760974323
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20463 Issued in MN
Legal business name
CORNERHOUSE INTERAGENCY CHILD ABUSE EVALUATION CENTER
Doing business as
CornerHouse
Practice address
2502 10TH Ave S
Minneapolis, MN 55404-4510
Phone
(612) 813-8300
Fax
(612) 813-8330
NPI assigned
May 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Authorized official

Name
Angela K Lewis-Dmello, MSW, LICSWNPI 1174962351
Title
Family Services Director
Phone
(612) 813-8312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 20463 MN Primary

Addresses

Primary practice location

2502 10TH Ave S
Minneapolis, MN 55404-4510

Mailing address

2502 10TH Ave S
Minneapolis, MN 55404-4510
Phone (612) 813-8300

Other names 1

  • CornerHouse Doing business as

National Provider Directory

National Provider Directory

Locations

2502 10th Ave S
Minneapolis, MN 55404
Phone (612) 813-8300

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1760974323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 10TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044510",
            "telephone_number": "612-813-8300",
            "fax_number": "612-813-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 10TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044510",
            "telephone_number": "612-813-8300",
            "fax_number": "612-813-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERHOUSE INTERAGENCY CHILD ABUSE EVALUATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "LEWIS-DMELLO",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "FAMILY SERVICES DIRECTOR",
        "authorized_official_telephone_number": "612-813-8312",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CornerHouse",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 30, 2018; 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.