ELIZABETH HUBBARD BRADY (NPI# 1134229990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134229990 |
| Entity Type | Individual |
| Full Name | ELIZABETH HUBBARD BRADY |
| Credential | LICSW |
| Practice Address |
1619 Dayton Ave Suite 110 Saint Paul MN 55104-6206 |
| Practice Telephone | 6515238800 |
| Practice Fax Number | 6515238811 |
| Mailing Telephone | 6515238800 |
| Mailing Fax Number | 6515238811 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2008-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 09797 | MN | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
09797 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS/BLUE SHIELD | 55G76BR | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538552161 | Elizabeth Brady | Speech-Language Pathologist | 9104 Fernhill Ave, Parma, OH 44129-2028 | 2015-03-06 |
| 1104242627 | Elizabeth Brady | Behavioral Analyst | 11905 Bowman Dr Ste 507, Fredericksburg, VA 22408-7344 | 2014-03-07 |
| 1396941761 | Elizabeth May Brady | Counselor | 85 Felt Rd, Suite 603, South Windsor, CT 06074-3870 | 2007-06-22 |
| 1861493132 | Elizabeth W. Brady | Surgery | 100 Wason Avenue, Springfield, MA 01107-1179 | 2005-08-09 |
| 1013470517 | Elizabeth Brady | Social Worker | 2110 Washington Blvd, Arlington, VA 22204-5719 | 2019-04-11 |
| 1275038796 | Elizabeth Jane Brady | Occupational Therapy Assistant | 125 Alma Blvd, Merritt Island, FL 32953-4345 | 2018-03-27 |
| 1114022415 | Elizabeth Ann Brady | Nurse Anesthetist, Certified Registered | 909 Sumner St, Stoughton, MA 02072-3396 | 2006-09-13 |
| 1447368303 | Elizabeth Brady | Nurse Practitioner | 2051 Charlie Hall Blvd, Charleston, SC 29414-5834 | 2006-08-29 |
| Street Address |
1619 DAYTON AVE SUITE 110 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-6206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134112378 | Mary J Higgins | Advanced Practice Midwife | 1619 Dayton Ave, Suite 205, Saint Paul, MN 55104-6206 | 2005-08-23 |
| 1740721778 | Stephen Platt | Counselor | 1619 Dayton Ave, Saint Paul, MN 55104-6206 | 2017-03-09 |
| 1669924320 | Erin Morgan Lmft, L.L.C. | Marriage & Family Therapist | 1619 Dayton Ave, Suite 201, Saint Paul, MN 55104-6206 | 2016-10-28 |
| 1174992457 | Marit Kyllo | Marriage & Family Therapist | 1619 Dayton Ave, Suite 303, Saint Paul, MN 55104-6206 | 2015-09-17 |
| 1043608706 | Heather Marie Holt | Social Worker | 1619 Dayton Ave, Ste 112b, Saint Paul, MN 55104-6206 | 2015-01-05 |
| 1003258385 | Erin Morgan | Marriage & Family Therapist | 1619 Dayton Ave, #203, Saint Paul, MN 55104-6206 | 2013-07-26 |
| 1427398973 | Cris A Oldenburg | Chiropractor | 1619 Dayton Ave, #327, Saint Paul, MN 55104-6206 | 2013-02-20 |
| 1205111622 | Kathleen Marie Kroska | Psychologist | 1619 Dayton Ave, Saint Paul, MN 55104-6206 | 2011-10-17 |
| 1134448590 | Noah Julian Simcox | Social Worker | 1619 Dayton Ave, Ste 112, Saint Paul, MN 55104-6276 | 2010-05-25 |
| 1104153568 | Erin Stamets | Nurse Practitioner | 1619 Dayton Ave, Suite 205, Saint Paul, MN 55104-6206 | 2009-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506858 | Rachael Girard Ryan | Social Worker | 1440 Alaska Ave, Saint Paul, MN 55116-2338 | 2020-10-21 |
| 1205443249 | Jesse Cramer LLC | Social Worker | 428 Minnesota St # 500, Saint Paul, MN 55101-2666 | 2020-09-24 |
| 1992345359 | Shannon Marie Lowe | Social Worker | 435 Dorothy Day Pl, Saint Paul, MN 55102-1002 | 2020-01-13 |
| 1588208110 | Ronika Darlene Stibbins | Social Worker | 475 Cleveland Ave N Ste 305&316, Saint Paul, MN 55104-5031 | 2019-11-06 |
| 1396399002 | Shauna Jolene Wiest | Social Worker | 311 Ramsey St Ste 105, Saint Paul, MN 55102-2323 | 2019-07-31 |
| 1336709575 | Storycloth Wellness, LLC | Social Worker | 800 Minnehaha Ave E Ste 330, Saint Paul, MN 55106-4437 | 2019-06-19 |
| 1790344125 | Rebecca Ann Stewart | Social Worker | 605 Ottawa Ave, Saint Paul, MN 55107-2551 | 2019-06-10 |
| 1386202091 | Journeys: A Pathway /to Healing, LLC | Social Worker | 625 Snelling Ave N # 5, Saint Paul, MN 55104-2878 | 2019-05-29 |
| 1174189591 | Kaitlin Voight-fitzpatrick | Social Worker | 438 Dorothy Day Pl, Saint Paul, MN 55102-1081 | 2019-05-10 |
| 1861955908 | Patricia Hendren | Social Worker | 1000 University Ave W, Saint Paul, MN 55104-4746 | 2019-04-06 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
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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.