Individual provider Active NPI

Marnie Tuenge

  • Clinical Social Worker
  • Woodbury, MN
National Provider Identifier
1801325402
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24955 Issued in MN
Practice address
10405 Grand Valley LN
Woodbury, MN 55129-4260
Phone
(612) 389-8819
Fax
(651) 391-2088
NPI assigned
Jun 7, 2017
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 24955 MN Primary
Clinical Social Worker 1041C0700X 12440-123 WI

Addresses

Primary practice location

10405 Grand Valley LN
Woodbury, MN 55129-4260

Mailing address

10405 Grand Valley LN
Woodbury, MN 55129-4260
Phone (612) 389-8819

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260302002310 MN Practitioner - Clinical Social Worker 3173005972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4846 Park Glen Rd
St Louis Park, MN 55416-5702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24955MNMDClinical Social Worker
12440-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Professional Services, LLC Clinical CurrentSince Jul 1, 2023 Accepting new patients
Anod Inc Behavior Analyst CurrentSince Jan 19, 2026 Accepting new patients

Locations

4846 Park Glen Rd
St Louis Park, MN 55416
Phone (651) 802-2533

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.

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1801325402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10405 GRAND VALLEY LN",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551294260",
            "telephone_number": "612-389-8819",
            "fax_number": "651-391-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10405 GRAND VALLEY LN",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551294260",
            "telephone_number": "612-389-8819",
            "fax_number": "651-391-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUENGE",
        "first_name": "MARNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "24955",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12440-123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.