Active NPI
Kelly L Lafell, LGSW
- Social Worker
- Saint Paul, MN
National Provider Identifier
1811506819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 28688
- Practice address
- 790 Cleveland Ave S Ste 211
Saint Paul, MN 55116-3845 - Phone
- (612) 245-4683
- NPI assigned
- Jul 24, 2020
- Last updated
- Jul 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 28688 | MN | Primary |
Addresses
Primary practice location
790 Cleveland Ave S Ste 211
Saint Paul, MN 55116-3845
Mailing address
3239 Colfax Ave N
Minneapolis, MN 55412-2543
Phone (612) 916-2713
Other practice location 1
3239 Colfax Ave N
Minneapolis, MN 55412-2543
Phone (612) 916-2713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595548800000",
"number": "1811506819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3239 COLFAX AVE N",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554122543",
"telephone_number": "612-916-2713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 CLEVELAND AVE S STE 211",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551163845",
"telephone_number": "612-245-4683"
}
],
"practiceLocations": [
{
"address_1": "3239 Colfax Ave N",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554122543",
"country_code": "US",
"telephone_number": "612-916-2713",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAFELL",
"first_name": "KELLY",
"middle_name": "L",
"credential": "LGSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-24",
"last_updated": "2020-07-24",
"certification_date": "2020-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "28688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.