Active NPI
Mary Jane Pearson, MSW, LICSW
- Clinical Social Worker
- Minnetonka, MN
National Provider Identifier
1912444571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 20216
- Practice address
- 5125 County Road 101, Suite 300
Relate, Inc.
Minnetonka, MN 55345 - Phone
- (952) 932-7277
- NPI assigned
- Jan 20, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 20216 | MN | Primary |
Addresses
Primary practice location
5125 County Road 101, Suite 300
Relate, Inc.
Minnetonka, MN 55345
Mailing address
5125 County Road 101, Suite 300
Relate, Inc.
Minnetonka, MN 55345
Phone (952) 932-7277
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484870400000",
"number": "1912444571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5125 COUNTY ROAD 101, SUITE 300",
"address_2": "RELATE, INC.",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "55345",
"telephone_number": "952-932-7277",
"fax_number": "952-932-9827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5125 COUNTY ROAD 101, SUITE 300",
"address_2": "RELATE, INC.",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "55345",
"telephone_number": "952-932-7277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "MARY JANE",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-20",
"last_updated": "2017-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "20216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.