Individual provider Active NPI

Gabriella Suihkonen-Gross, LICSW

  • Clinical Social Worker
  • Virginia, MN
National Provider Identifier
1942900071
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28446 Issued in MN
Practice address
624 13TH St S
Virginia, MN 55792-3149
Phone
(218) 749-2881
NPI assigned
Mar 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 28446 MN Primary

Addresses

Primary practice location

624 13TH St S
Virginia, MN 55792-3149

Mailing address

917 N Pennsylvania St
Aberdeen, SD 57401-2573
Phone (218) 780-1457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28446MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Range Mental Health Center CurrentSince Jul 24, 2023 Accepting new patients

Locations

504 1st St N
Virginia, MN 55792
Phone (218) 741-4714

624 13th St S
Virginia, MN 55792
Phone (218) 749-2881

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1942900071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 N PENNSYLVANIA ST",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574012573",
            "telephone_number": "218-780-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 13TH ST S",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557923149",
            "telephone_number": "218-749-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUIHKONEN-GROSS",
        "first_name": "GABRIELLA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia, MN

Sources for this page

Verify at the official NPI Registry.