Individual provider Active NPI

Nechama Layah Shagalow, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1982372256
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25598 Issued in MN
Practice address
2834 Raleigh Ave
Minneapolis, MN 55416-1967
Phone
(612) 205-5293
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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 25598 MN Primary

Addresses

Primary practice location

2834 Raleigh Ave
Minneapolis, MN 55416-1967

Mailing address

2834 Raleigh Ave
Minneapolis, MN 55416-1967
Phone (612) 205-5293

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

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Cities Behavioral Health, PC CurrentSince Jan 6, 2022 Accepting new patients
Twin Cities Behavioral Health PC PastSince Jan 6, 2022 Accepting new patients

Locations

2 Division St E
Ste 103
Buffalo, MN 55313
Phone (763) 220-0623

8120 Penn Ave S
Ste 554
Minneapolis, MN 55431
Phone (952) 831-3662

7650 Currell Blvd
Ste 110
Woodbury, MN 55125
Phone (651) 731-4254

Organizations & group practices 2

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": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1982372256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2834 RALEIGH AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554161967",
            "telephone_number": "612-205-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2834 RALEIGH AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554161967",
            "telephone_number": "612-205-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAGALOW",
        "first_name": "NECHAMA",
        "middle_name": "LAYAH",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "25598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.