Todd Archbold, LSW
Individual provider Active NPI Social Worker · Maple Grove, MN
NPI 1902272685 · NPPES record last updated Aug 17, 2015
Key facts
- NPI
- 1902272685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 18153 80TH PL N
Maple Grove, MN 55311 - Phone
- (952) 836-8480
- NPI assigned
- Aug 17, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairiecare LLC | Current | Accepting new patients | |
| Prairiecare LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
18153 80TH PL N
Maple Grove, MN 55311
Mailing address
18153 80TH PL N
Maple Grove, MN 55311
Other providers in Maple Grove, MN
- Angel David Aponte Tirado
- Hannah Arason
- Arbor Lakes Chiropractic Center P.a.
- Arbor Lakes Senior Living
- Arbor Lakes Senior Living II LLC
- Lisa Arras
- Tanya E Arvidson
- Asam Counseling and Wellness LLC
- Ascending Health Center, PLLC
- Samir Nahil Ashok
All providers in Maple Grove, MN · Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.