Active NPI
Anne M McDonald, LICSW
- Clinical Social Worker
- White Bear Lake, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 18725
- Practice address
- 4444 Centerville Road
Suite 235
White Bear Lake, MN 55127 - Phone
- (651) 289-3111
- NPI assigned
- May 26, 2015
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 18725 | MN | Primary |
Addresses
Primary practice location
4444 Centerville Road
Suite 235
White Bear Lake, MN 55127
Mailing address
7939 20TH Avenue S
Centerville, MN 55038
Phone (651) 288-0332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2831 Snelling N Ave
Roseville, MN 55113-2460
Phone (651) 636-4525
8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18725 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients |
Locations
2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1801275672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7939 20TH AVENUE S",
"city": "CENTERVILLE",
"state": "MN",
"postal_code": "55038",
"telephone_number": "651-288-0332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 CENTERVILLE ROAD",
"address_2": "SUITE 235",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "55127",
"telephone_number": "651-289-3111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "ANNE",
"middle_name": "M",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "18725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Bear Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.