Individual provider Active NPI

Anna Quincer, LICSW

  • Clinical Social Worker
  • Edina, MN
National Provider Identifier
1811515976
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
6363 France Ave S
Edina, MN 55435-2129
Phone
(763) 762-6873
NPI assigned
Jul 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

6363 France Ave S
Edina, MN 55435-2129

Mailing address

6363 France Ave S
Edina, MN 55435-2129
Phone (763) 762-6873

Other practice location 1

8120 Penn Ave S Ste 270
Bloomington, MN 55431-1320
Phone (800) 336-5973 ext. 4

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
I20220519002448 MN Practitioner - Clinical Social Worker 2466839022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catalyst Mental Health, GBCGroup PAC ID 1355500752, 29 clinicians

Practice addresses (Care Compare)

8120 Penn Ave S
Suite 270
Bloomington, MN 55431-1320
Phone (800) 336-5973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Mental Health, GBC CurrentSince Oct 14, 2024 Accepting new patients
Catalyst Mental Health, GBC CurrentSince Oct 14, 2024 Accepting new patients
Nystrom & Associates, LTD Clinical PastSince Apr 13, 2026 Accepting new patients

Locations

1915 Lyndale Ave S
Minneapolis, MN 55403
Phone (800) 336-5973

8120 Penn Ave S
Ste 270
Minneapolis, MN 55431
Phone 8003365973 ext. 3

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1811515976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 FRANCE AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352129",
            "telephone_number": "763-762-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 FRANCE AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352129",
            "telephone_number": "763-762-6873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8120 Penn Ave S Ste 270",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554311320",
            "country_code": "US",
            "telephone_number": "800-336-5973 x4",
            "fax_number": "612-234-4689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINCER",
        "first_name": "ANNA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.