Active NPI
Evelyn Nerenberg
- Clinical Social Worker
- Edina, MN
National Provider Identifier
1962800169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- H01471050090001
- Legal business name
- EVELYN NERENBERG
- Practice address
- 5780 Lincoln Dr
Suite 124
Edina, MN 55436-1640 - Phone
- (952) 935-3472
- NPI assigned
- Dec 21, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janet M Schultz
- Title
- Medical Biller
- Phone
- (952) 224-1905
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | H01471050090001 | MN | Primary |
Addresses
Primary practice location
5780 Lincoln Dr
Suite 124
Edina, MN 55436-1640
Mailing address
5780 Lincoln Dr
Suite 124
Edina, MN 55436-1640
Phone (952) 935-3472
National Provider Directory
National Provider DirectoryLocations
5780 Lincoln Dr
Ste 124
Edina, MN 55436
Phone (952) 831-9111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1419120000000",
"number": "1962800169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5780 LINCOLN DR",
"address_2": "SUITE 124",
"city": "EDINA",
"state": "MN",
"postal_code": "554361640",
"telephone_number": "952-935-3472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5780 LINCOLN DR",
"address_2": "SUITE 124",
"city": "EDINA",
"state": "MN",
"postal_code": "554361640",
"telephone_number": "952-935-3472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVELYN NERENBERG",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-21",
"last_updated": "2014-12-21",
"status": "A",
"authorized_official_last_name": "SCHULTZ",
"authorized_official_first_name": "JANET",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MEDICAL BILLER",
"authorized_official_telephone_number": "952-224-1905"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "H01471050090001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.