Active NPI
Virginia Rose Shelifoe, LGSW
- Social Worker
- Brooklyn Center, MN
National Provider Identifier
1871301093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 33861
- Practice address
- 7203 Perry CT E
Brooklyn Center, MN 55429-1202 - Phone
- (906) 201-4005
- NPI assigned
- Dec 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 33861 | MN | Primary |
Addresses
Primary practice location
7203 Perry CT E
Brooklyn Center, MN 55429-1202
Mailing address
2570 Sylvan St
Little Canada, MN 55117-1406
Phone (906) 201-4005
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33861 | MN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1871301093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2570 SYLVAN ST",
"city": "LITTLE CANADA",
"state": "MN",
"postal_code": "551171406",
"telephone_number": "906-201-4005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7203 PERRY CT E",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554291202",
"telephone_number": "906-201-4005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELIFOE",
"first_name": "VIRGINIA",
"middle_name": "ROSE",
"name_prefix": "Miss",
"credential": "LGSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-19",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "33861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Center, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.