Courtney Seaborg, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

24414 Issued in MN

Practice address

3305 Central Park Village Dr Ste 200
Eagan, MN 55121-7707

Phone

(651) 406-8860

NPI assigned

Apr 6, 2015

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

Other names 1

• Courtney M Coulter Former name

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.

• West Central Counseling LLC

  • Mental Health Counselor
  • Alexandria, MN
  • NPI 1649846650

  Clinical

  NPD (past)

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1801281944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 3RD AVE",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032424",
            "telephone_number": "763-421-5535",
            "fax_number": "763-433-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 CENTRAL PARK VILLAGE DR STE 200",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551217707",
            "telephone_number": "651-406-8860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7041 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "MN",
            "postal_code": "550389737",
            "country_code": "US",
            "telephone_number": "651-407-3631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1833 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Anoka",
            "state": "MN",
            "postal_code": "55303",
            "country_code": "US",
            "telephone_number": "763-421-5535",
            "fax_number": "763-433-0226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1833 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Anoka",
            "state": "MN",
            "postal_code": "55303",
            "country_code": "US",
            "telephone_number": "763-421-5535",
            "fax_number": "763-433-0226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEABORG",
        "first_name": "COURTNEY",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "24414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "COULTER",
            "middle_name": "M",
            "credential": "MSW, LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benjamin Paul Schwarz, PT, DPT
• Schwieters Medical PLLC
• Bryan J Schwieters, MD
• Scott L Bjerke DDS PA
• Dylan Scott, PT
• Mary L Sedivy, D.D.S.
• Sempron Medical Supplier LLC
• Seo, LLC
• Serenity Behavioral Health LLC
• Serenity Support Services LLC

• Clinical Social Worker in Eagan, MN
• Providers in Eagan, 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 Jun 27, 2019; 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.