Individual provider Active NPI

Alma Catherine Phibbs, LICSW

  • Clinical Social Worker
  • Bloomington, MN
National Provider Identifier
1841413697
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16584 Issued in MN
Practice address
900 American Blvd E
Suite 103
Bloomington, MN 55420-1392
Phone
(952) 854-7200
Fax
(952) 854-7772
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 16584 MN Primary

Addresses

Primary practice location

900 American Blvd E
Suite 103
Bloomington, MN 55420-1392

Mailing address

900 American Blvd E
Suite 103
Bloomington, MN 55420-1392
Phone (952) 854-7200

Other identifiers 2

IdentifierTypeStateIssuer
7680218OtherMNMN CARE TAX ID
992N6PHOtherMNBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8120 Penn Ave S
Suite 500S
Bloomington, MN 55431-1367

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16584MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Suzanne L. Krueger & Associates PC Past Accepting new patients

Organizations & group practices 1

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841413697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 AMERICAN BLVD E",
            "address_2": "SUITE 103",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554201392",
            "telephone_number": "952-854-7200",
            "fax_number": "952-854-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 AMERICAN BLVD E",
            "address_2": "SUITE 103",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554201392",
            "telephone_number": "952-854-7200",
            "fax_number": "952-854-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIBBS",
        "first_name": "ALMA",
        "middle_name": "CATHERINE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN CARE TAX ID",
            "identifier": "7680218",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "992N6PH",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.