Individual provider Active NPI

Suzanne Ringold Harman, MSW, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1831295260
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9850 Issued in MN
Practice address
4316 Upton Ave S
Minneapolis, MN 55410-1504
Phone
(612) 760-6978
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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 9850 MN Primary

Addresses

Primary practice location

4316 Upton Ave S
Minneapolis, MN 55410-1504

Mailing address

4921 10TH Ave S
Minneapolis, MN 55417-1102
Phone (612) 760-6978

Other practice location 1

4921 10th Ave S
Minneapolis, MN 55417-1102
Phone (612) 760-6978

Other practice location 2

2720 W 43rd St Ste 202
Minneapolis, MN 55410-1643
Phone (612) 760-6978

Other identifiers 1

IdentifierTypeStateIssuer
633717100MedicaidMN

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

State licenses

LicenseStateTypeSpecialty
9850MNMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1831295260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 10TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171102",
            "telephone_number": "612-760-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 UPTON AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101504",
            "telephone_number": "612-760-6978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4921 10th Ave S",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554171102",
            "country_code": "US",
            "telephone_number": "612-760-6978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2720 W 43rd St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554101643",
            "country_code": "US",
            "telephone_number": "612-760-6978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARMAN",
        "first_name": "SUZANNE",
        "middle_name": "RINGOLD",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "9850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "633717100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.