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COMMUNITYWISE SERVICES INC. NPI 1760155881


NPI Information

NPI: 1760155881
Provider Name: COMMUNITYWISE SERVICES, INC.
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
1546 6TH AVE S APT 63
SAINT CLOUD, MN
ZIP 56301
Phone: (763) 703-0976
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COMMUNITYWISE SERVICES, INC. is a clinical social worker in Saint Cloud, MN. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. COMMUNITYWISE SERVICES, INC. NPI is 1760155881. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1546 6TH AVE S APT 63
SAINT CLOUD, MN
ZIP 56301-044
Phone: (763) 703-0976

The provider's authorized official is Abdigani Abdirahman Ahmed .
The authorized official title is Executive Director and has the following contact phone number (763) 703-0976.

The enumeration date for this NPI number is 7/26/2021 and was last updated on 7/26/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalYes
2261QD0000XClinic/CenterDentalNo
3261QH0100XClinic/CenterHealth ServiceNo
4261QP2000XClinic/CenterPhysical TherapyNo
5261QP2300XClinic/CenterPrimary CareNo
6251S00000XCommunity/Behavioral HealthNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11376151837MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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