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THE MIDWEST TRAUMA CENTER AND FAMILY RESOURCES NPI 1356530224


NPI Information

NPI: 1356530224
Provider Name: THE MIDWEST TRAUMA CENTER AND FAMILY RESOURCES

Doing Business As: MIDWEST TRAUMA CENTER

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
7400 METRO BLVD STE 413
EDINA, MN
ZIP 55439
Phone: (218) 310-2864
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THE MIDWEST TRAUMA CENTER AND FAMILY RESOURCES is a clinical social worker in Edina, 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. THE MIDWEST TRAUMA CENTER AND FAMILY RESOURCES NPI is 1356530224. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Midwest Trauma Center.

The provider's business location address is:

7400 METRO BLVD STE 413
EDINA, MN
ZIP 55439-326
Phone: (218) 310-2864

The provider's authorized official is Loralee Ann Carter .
The authorized official title is Owner and has the following contact phone number (218) 310-2864.

The enumeration date for this NPI number is 10/17/2007 and was last updated on 5/6/2008.


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 WorkerClinical15212MINNESOTAYes

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
177B26CAOTHERMINNESOTABLUE CROSS BLUE SHIELD
2858247500MEDICAIDMINNESOTA
362-64099OTHERMINNESOTAUNITED BEHAVIORAL HEALTH
46800001283MEDICARE PINMINNESOTA

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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