Individual provider Active NPI

Maryellen Zaborowski, LCSW

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1881110963
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3319 Fillmore St NE
Minneapolis, MN 55418-1357
Phone
(773) 577-0786
NPI assigned
Aug 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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 Primary

Addresses

Primary practice location

3319 Fillmore St NE
Minneapolis, MN 55418-1357

Mailing address

3319 Fillmore St NE
Minneapolis, MN 55418-1357
Phone (773) 577-0786

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
I20260106001226 MN Practitioner - Clinical Social Worker 3779079124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5995 Oren Ave N
Suite 203
Oak Park Heights, MN 55082-6379

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30777MNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Mental Health CurrentSince Dec 3, 2025 Accepting new patients
Collaborative Psychiatric Services LLC PastSince Mar 22, 2024 Accepting new patients

Locations

7401 Metro Blvd
Ste 425
Edina, MN 55439
Phone (651) 217-1480

5995 Oren Ave N
Ste 203
Stillwater, MN 55082
Phone (651) 217-1480

Organizations & group practices 2

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": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1881110963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 FILLMORE ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554181357",
            "telephone_number": "773-577-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 FILLMORE ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554181357",
            "telephone_number": "773-577-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABOROWSKI",
        "first_name": "MARYELLEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.