Active NPI
Stephen Eugene Calvit, LICSW
- Clinical Social Worker
- Minneapolis, MN
National Provider Identifier
1871722371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8667
- Practice address
- 2649 Park Ave
Minneapolis, MN 55407-1006 - Phone
- (612) 676-1604
- Fax
- (612) 379-8235
- NPI assigned
- Jul 7, 2009
- Last updated
- Jul 7, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8667 | MN | Primary |
Addresses
Primary practice location
2649 Park Ave
Minneapolis, MN 55407-1006
Mailing address
2649 Park Ave
Minneapolis, MN 55407-1006
Phone (612) 676-1604
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8667 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246924800000",
"number": "1871722371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2649 PARK AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071006",
"telephone_number": "612-676-1604",
"fax_number": "612-379-8235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2649 PARK AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071006",
"telephone_number": "612-676-1604",
"fax_number": "612-379-8235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALVIT",
"first_name": "STEPHEN",
"middle_name": "EUGENE",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-07",
"last_updated": "2009-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "8667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
- Lisa S Callies, MD
- Samantha Rose Callisto, DPT
- Calm-Clinic for Attention, Learning, and Memor (Clinic for Attention, Learning, and Memory, PA)
- Calmcare Psychiatry Clinic S.C.
- Ashley Marie Calore, AGNP-BC
- Darryl Victor Calvo, M.D.
- Andres F Camacho, MD
- Joseph Daniel Camacho, PHARMD
- Nasira Camack
- Renee Camara Silva, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.