Virginia Carveth

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

5701 Kentucky Ave N Ste 201
Crystal, MN 55428-3394

Phone

(763) 568-7223

NPI assigned

Dec 21, 2020

Last updated

Dec 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1881280162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 KENTUCKY AVE N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554283370",
            "telephone_number": "763-568-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 KENTUCKY AVE N STE 201",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554283394",
            "telephone_number": "763-568-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVETH",
        "first_name": "VIRGINIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sharon Keun Hae Chung, LICSW
• Jessica M Cici, MD

• Clinical Social Worker in Crystal, MN
• Providers in Crystal, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.