Individual provider Active NPI

Stephanie Sligo-Baker, M.S.W

  • Clinical Social Worker
  • Burnsville, MN
National Provider Identifier
1861543894
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16534 Issued in MN
Practice address
2105 West 143Rd Street #B
Burnsville, MN 55306-8000
Phone
(952) 303-6832
Fax
(952) 303-3434
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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 16534 MN Primary

Addresses

Primary practice location

2105 West 143Rd Street #B
Burnsville, MN 55306-8000

Mailing address

6860 Shingle Creek Pkwy
Suite 116
Brooklyn Center, MN 55430
Phone (763) 560-4860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110421000868 MN Practitioner - Clinical Social Worker 2769667443 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients
The Counseling Clinic, Inc. Past Accepting new patients
Lee Carlson Center for Mental Health and Well-Being Past Accepting new patients

Locations

729 Washington Ave N
Ste 600
Minneapolis, MN 55401
Phone (334) 463-3099

Organizations & group practices 3

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1861543894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6860 SHINGLE CREEK PKWY",
            "address_2": "SUITE 116",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "55430",
            "telephone_number": "763-560-4860",
            "fax_number": "763-503-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 WEST 143RD STREET #B",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553068000",
            "telephone_number": "952-303-6832",
            "fax_number": "952-303-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLIGO-BAKER",
        "first_name": "STEPHANIE",
        "credential": "M.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.