PRAIRIE ST. JOHN'S CLINIC NPI 1518059690

NPI Information

  • NPI: 1518059690
  • Provider Name: PRAIRIE ST. JOHN'S CLINIC
  • Classification: Social Worker - 104100000X
  • Entity Type: Organization
  • Address: 7616 CURRELL BLVD
    SUITE 100
    SAINT PAUL, MN
    ZIP 55125
  • Phone: (651) 259-9700

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NPI Details

PRAIRIE ST. JOHN'S CLINIC is a social worker in Saint Paul, MN. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. PRAIRIE ST. JOHN'S CLINIC NPI is 1518059690. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7616 CURRELL BLVD
SUITE 100
SAINT PAUL, MN
ZIP 55125-290
Phone: (651) 259-9700
Fax: (651) 259-9740

The provider's authorized official is Jerry W Magnison .
The authorized official title is Chief Financial Officer and has the following contact phone number (701) 476-7221.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 9/11/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselor5063ANORTH DAKOTANo
2101YM0800XCounselorMental Health5063ANORTH DAKOTANo
3103T00000XPsychologist5063ANORTH DAKOTANo
4103TB0200XPsychologistCognitive & Behavioral5063ANORTH DAKOTANo
5103TC1900XPsychologistCounseling5063ANORTH DAKOTANo
6103TC2200XPsychologistClinical Child & Adolescent5063ANORTH DAKOTANo
7104100000XSocial Worker5063ANORTH DAKOTAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1238T5PROTHERMINNESOTAMINNESOTA BLUE CROSS

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: 11/21/2025

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