MS. MARY K. ZWACK (NPI# 1033269261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033269261 |
| Entity Type | Individual |
| Full Name | MS. MARY K. ZWACK |
| Credential | M.S., LADC, LMFT |
| Practice Address |
2480 White Bear Ave N Ste 101 Maplewood MN 55109-5165 |
| Mailing Address |
2399 Ariel St N Maplewood MN 55109-2203 |
| Practice Telephone | 6517701311 |
| Practice Fax Number | 6517701879 |
| Mailing Telephone | 6517701311 |
| Mailing Fax Number | 6517701879 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2015-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT1368 | MN | Behavioral Health & Social Service Providers |
| Street Address |
2480 WHITE BEAR AVE N STE 101 |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-5165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073663225 | Raymond Lance Becker | Psychologist | 2480 White Bear Ave N Ste 101, Maplewood, MN 55109-5165 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750908869 | Dolly Bosire | Marriage & Family Therapist | 2040 Millburn Ave Ste 303, Maplewood, NJ 07040-3716 | 2020-07-06 |
| 1487173795 | Jessica M Hodge | Marriage & Family Therapist | 35 Marie Place, Maplewood, NJ 07040 | 2017-09-18 |
| 1013253889 | Jennifer L Tichenor | Marriage & Family Therapist | 2103 County Road D E, Suite A, Maplewood, MN 55109-5357 | 2012-12-21 |
| 1952666190 | Maria Moua | Marriage & Family Therapist | 2103 County Road D E Ste A, Maplewood, MN 55109-5357 | 2012-07-12 |
| 1639403967 | Jael Were | Marriage & Family Therapist | 2127 County Road D E Ste A, Maplewood, MN 55109-5349 | 2009-09-18 |
| 1437366606 | Ronnie Phyllis Stern | Marriage & Family Therapist | 169 Maplewood Ave, Suite 1, Maplewood, NJ 07040-2107 | 2007-05-17 |
| 1396866356 | Faten Hope Khoury | Marriage & Family Therapist | 1499 Brooks Ave E, Maplewood, MN 55109-2012 | 2007-04-03 |
| 1922171131 | Steven Powers Gray | Marriage & Family Therapist | 2115 County Road D E, Suite B, Maplewood, MN 55109-5353 | 2006-11-16 |
| 1265084735 | Denise Bloczynski Rodiles | Marriage & Family Therapist | 2001 Beam Ave, Maplewood, MN 55109-1401 | 2019-07-15 |
| 1083167340 | Maplewood Wellness Center of Minnesota | Marriage & Family Therapist | 2103 County Road D E Ste A, Maplewood, MN 55109-5357 | 2016-08-03 |
| Find all providers in MAPLEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.