Applied Behavioral Health Care LLC
Organization Active NPI Clinical Social Worker · Hopkins, MN
NPI 1932646478 · NPPES record last updated Jan 23, 2017
Key facts
- NPI
- 1932646478
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 00371 (MN)
- Legal business name
- APPLIED BEHAVIORAL HEALTH CARE LLC
- Practice address
- 527 2ND St NE
Hopkins, MN 55343-3403 - Phone
- (952) 933-3460
- Fax
- (952) 938-5162
- NPI assigned
- Jan 23, 2017
- Organization subpart
- No
Authorized official
- Name
- Mr. William John Ronan, LICSW
- Title
- Owner
- Phone
- (952) 933-3460
Practitioners 1
-
William Ronan, LICSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170124002567 | MN | Part B Supplier - Clinic/Group Practice | 0244512374 | Practice locations: Hopkins, MN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 00371 | MN | Yes |
Addresses
Primary practice location
527 2ND St NE
Hopkins, MN 55343-3403
Mailing address
527 2ND St NE
Hopkins, MN 55343-3403
Phone (952) 933-3460
Other providers in Hopkins, MN
- Karla Anderson
- Kristen Anderson
- Melissa M Anderson
- Carolyn Beth Andrae
- Jennifer Beth Andreasson
- Deborah Lee Arbogast
- Natalie Beth Armel
- Jacqueline Korus Arzapalo
- Asmo Ahmed Ashkir
- Aspire Center
All providers in Hopkins, MN · Clinical 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 Jan 23, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.