Active NPI
Cheri Lynn Brady, LICSW
- Clinical Social Worker
- Minneapolis, MN
National Provider Identifier
1902141526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12998
- Practice address
- 3333 University Ave SE
Minneapolis, MN 55414-3325 - Phone
- (612) 728-5311
- NPI assigned
- Dec 7, 2012
- Last updated
- Dec 7, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12998 | MN | Primary |
| School Social Worker | 1041S0200X | 467617 | MN |
Addresses
Primary practice location
3333 University Ave SE
Minneapolis, MN 55414-3325
Mailing address
3955 York Ave N
Robbinsdale, MN 55422-2330
Phone (763) 536-9688
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 |
|---|---|---|---|
| 467617 | MN | MD | School Social Worker |
Practice roles
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- North Saint Paul, MN
- NPI 1174635643
-
- Rehabilitation Clinic/Center
- Richfield, MN
- NPI 1063568574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354838400000",
"number": "1902141526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3955 YORK AVE N",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "554222330",
"telephone_number": "763-536-9688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 UNIVERSITY AVE SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554143325",
"telephone_number": "612-728-5311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "CHERI",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-07",
"last_updated": "2012-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "12998",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MN",
"license": "467617",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.