Active NPI
Emily Rachel Zallen
- Clinical Social Worker
- Woodbury, MN
National Provider Identifier
1851413041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12160
- Practice address
- 7616 Currell Blvd Suite 110
Woodbury, MN 55125 - Phone
- (651) 259-9760
- Fax
- (651) 259-9770
- NPI assigned
- Apr 6, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12160 | MN | Primary |
Addresses
Primary practice location
7616 Currell Blvd Suite 110
Woodbury, MN 55125
Mailing address
7616 Currell Blvd Suite 110
Woodbury, MN 55125
Phone (651) 259-9769
Other names 1
- Emily Rachel Zallen-Sevett
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Croix Psychiatric, LLC | Clinical | 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": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196812800000",
"number": "1851413041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7616 CURRELL BLVD SUITE 110",
"city": "WOODBURY",
"state": "MN",
"postal_code": "55125",
"telephone_number": "651-259-9769",
"fax_number": "651-259-9770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7616 CURRELL BLVD SUITE 110",
"city": "WOODBURY",
"state": "MN",
"postal_code": "55125",
"telephone_number": "651-259-9760",
"fax_number": "651-259-9770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZALLEN",
"first_name": "EMILY",
"middle_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2007-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "12160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "ZALLEN-SEVETT",
"middle_name": "RACHEL",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.