The Divergent Grove Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE DIVERGENT GROVE THERAPY LLC

Practice address

4753 Narvik Drive
Eagan, MN 55122

Phone

(651) 998-7438

Fax

(651) 705-7077

NPI assigned

Jul 30, 2025

Last updated

Jul 30, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexandra Divergent Grove Ther McLaughlinNPI 1578247599

Title

Executive Director/Founder

Phone

(651) 998-7438

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexandra McLaughlin, MSW, LICSW

  • Clinical Social Worker
  • Edina, MN
  • NPI 1578247599
  NPD Authorized official

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1811870306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7851 METRO PKWY",
            "address_2": "#115 PMB1099",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "55425",
            "telephone_number": "651-998-7438",
            "fax_number": "651-705-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4753 NARVIK DRIVE",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55122",
            "telephone_number": "651-998-7438",
            "fax_number": "651-705-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DIVERGENT GROVE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "DIVERGENT GROVE THER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/FOUNDER",
        "authorized_official_telephone_number": "651-998-7438"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samrawit Habteab Tesfay
• Che Doua Thao
• Vicky Thao
• The Dental Center of Eagan
• The Dental Specialists of Minnesota, PLLC
• Tressa Theis, M.S., CCC-SLP
• Shaylin Theisen, MS OTR/L
• Jessica Thelemann
• Amy Marie Thesing, APRN, CNP
• Amanda Tuttle Thielen, PT

• 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 Jul 30, 2025; 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.