Organization Active NPI

Wellbeing Collaborative, LTD.

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1841448115
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17367 Issued in MN
Legal business name
WELLBEING COLLABORATIVE, LTD.
Practice address
1170 15TH Ave SE
Suite 210
Minneapolis, MN 55414-2589
Phone
(612) 605-6575
NPI assigned
Aug 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Colleen Ann McCann, LICSW
Title
President
Phone
(612) 605-6575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 17367 MN Primary

Addresses

Primary practice location

1170 15TH Ave SE
Suite 210
Minneapolis, MN 55414-2589

Mailing address

1170 15TH Ave SE
Suite 210
Minneapolis, MN 55414-2589
Phone (612) 605-6575

National Provider Directory

National Provider Directory

Locations

1170 15th Ave SE
Ste 210
Minneapolis, MN 55414
Phone (612) 605-6575

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1841448115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 15TH AVE SE",
            "address_2": "SUITE 210",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554142589",
            "telephone_number": "612-605-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 15TH AVE SE",
            "address_2": "SUITE 210",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554142589",
            "telephone_number": "612-605-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBEING COLLABORATIVE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "MCCANN",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-605-6575",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "17367",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 28, 2008; 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.