Active NPI
Danglam Truong
- Social Worker
- Maple Grove, MN
National Provider Identifier
1811636764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 23847
- Practice address
- 6209 Pilgrim LN N
Maple Grove, MN 55369-6242 - Phone
- (612) 247-2097
- NPI assigned
- May 31, 2022
- Sex
- Male
- 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 | 23847 | MN | Primary |
Addresses
Primary practice location
6209 Pilgrim LN N
Maple Grove, MN 55369-6242
Mailing address
6209 Pilgrim LN N
Maple Grove, MN 55369-6242
Phone (612) 247-2097
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": "1653955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1811636764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6209 PILGRIM LN N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553696242",
"telephone_number": "612-247-2097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6209 PILGRIM LN N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553696242",
"telephone_number": "612-247-2097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "DANGLAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-31",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "23847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.