American Indian Community Development Corporation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AMERICAN INDIAN COMMUNITY DEVELOPMENT CORPORATION

Practice address

2012 Cedar Ave S
Minneapolis, MN 55404-3101

Phone

(612) 813-1610

NPI assigned

Aug 3, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Chris McElveen

Title

Chief Operating Officer

Phone

(612) 843-2112

Specialties & licenses 1

Addresses

Tax ID family

American Indian Community Development Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• American Indian Community Development Corporation

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Minneapolis, MN
  • NPI 1558781633
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chanelle Gallagher, MSW, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1437781234
  NPD

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1972277911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 E FRANKLIN AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042157",
            "telephone_number": "612-843-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 CEDAR AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043101",
            "telephone_number": "612-813-1610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 1/2 W Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554042402",
            "country_code": "US",
            "telephone_number": "612-813-1610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMERICAN INDIAN COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "MCELVEEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "CHRIS",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "612-843-2112",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Current Care of Minnesota PC
• American Family Healthcare,Inc
• American Family Transportation Inc
• American Indian Community Development Corp
• American Indian Community Development Corporation
• American Travel Service Inc
• American United Care LLC
• Ameritechies Inc
• Jeffrey Charles Ames, MD
• Megan Marie Ames

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.