Active NPI
Christina Harrison
- Clinical Social Worker
- Andover, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 24395
- Practice address
- 1875 Station Pkwy NW
Andover, MN 55304-3319 - Phone
- (763) 520-6520
- NPI assigned
- Apr 5, 2018
- Last updated
- Jun 30, 2022
- 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 | 24395 | MN | Primary |
Addresses
Primary practice location
1875 Station Pkwy NW
Andover, MN 55304-3319
Mailing address
1875 Station Pkwy NW
Andover, MN 55304-3319
Other practice location 1
3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 581-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
16 Atlantic Ave
Lynbrook, NY 11563-3046
1875 Station Pkwy NW
Andover, MN 55304-3319
871 Jefferson Ave
Saint Paul, MN 55102-2506
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rum River Counseling, Inc. | Clinical | Current | Accepting new patients |
| Emily Program P C | Current | Accepting new patients | |
| North Memorial Health Care | Current | Accepting new patients | |
| North Memorial Health Care | Current | Accepting new patients |
Locations
1875 Station Pkwy NW
Andover, MN 55304
9875 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-1000
7200 Hudson Blvd N
Ste 220
Oakdale, MN 55128
18205 45th Ave N
Ste D
Plymouth, MN 55446
Phone (214) 554-4089
3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048
3366 Oakdale Ave N
Ste 315
Robbinsdale, MN 55422
Phone (763) 520-7900
1619 Dayton Ave
Ste 201
Saint Paul, MN 55104
Phone (651) 645-5504
2265 Como Ave
Saint Paul, MN 55108
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Emily Program
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saint Paul, MN
- NPI 1528165065
-
dba North Memorial Health Hospital
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
-
- Clinic/Center
- Blaine, MN
- NPI 1841995552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1962908160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1875 STATION PKWY NW",
"city": "ANDOVER",
"state": "MN",
"postal_code": "553043319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1875 STATION PKWY NW",
"city": "ANDOVER",
"state": "MN",
"postal_code": "553043319",
"telephone_number": "763-520-6520"
}
],
"practiceLocations": [
{
"address_1": "3300 Oakdale Ave N",
"address_purpose": "LOCATION",
"city": "Robbinsdale",
"state": "MN",
"postal_code": "554222926",
"country_code": "US",
"telephone_number": "763-581-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRISON",
"first_name": "CHRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-05",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "24395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Andover, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.