DAWN DRAAYER-THIBODEAU, LLC (NPI# 1235524521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235524521 |
| Entity Type | Organization |
| Organization Name | DAWN DRAAYER-THIBODEAU, LLC |
| Practice Address |
4500 Park Glen Rd Suite 155 St Louis Park MN 55416-4871 |
| Practice Telephone | 9523341213 |
| Practice Fax Number | 9529289774 |
| Mailing Telephone | 9523341213 |
| Mailing Fax Number | 9529289774 |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |
| Authorized Official Name | DAWN DIANA DRAAYER-THIBODEAU (THERAPIST) |
| Authorized Official Telephone | 9523341213 |
| Authorized Official Credential | MSW, LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
15185 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 78612312-00 | 05 |
| Street Address |
4500 PARK GLEN RD SUITE 155 |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416-4871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265427629 | Renee T Vonweiss | Psychologist | 4500 Park Glen Rd, Suite 450, St Louis Park, MN 55416-4871 | 2005-09-13 |
| 1457757957 | Benjamin Powers | Counselor | 4500 Park Glen Rd, Suite 155, St Louis Park, MN 55416-4871 | 2014-11-10 |
| 1891118931 | Brighton Hospice Minnesota, LLC | Hospice Care, Community Based | 4500 Park Glen Rd, Suite 475, St Louis Park, MN 55416-4871 | 2014-01-26 |
| 1609214311 | Susan E Nicol Phd LLC | Psychologist | 4500 Park Glen Rd, Suite 270, St Louis Park, MN 55416-4871 | 2013-06-05 |
| 1477859940 | W Wade Phd Lp LLC | Clinic/Center | 4500 Park Glen Rd, Suite 270, St Louis Park, MN 55416-4871 | 2011-02-01 |
| 1851603393 | Wendy Ann Wade | Psychologist | 4500 Park Glen Rd, Suite 360, St Louis Park, MN 55416-4871 | 2010-07-13 |
| 1679896682 | Janey Dorgan Nelson | Social Worker | 4500 Park Glen Rd, Suite 155, St Louis Park, MN 55416-4871 | 2010-03-04 |
| 1598800146 | Franklin Clinic, Ltd. | Psychologist | 4500 Park Glen Rd, #150, St Louis Park, MN 55416-4871 | 2007-02-21 |
| 1699814111 | Franklin Clinic, Ltd | Marriage & Family Therapist | 4500 Park Glen Rd, #150, St Louis Park, MN 55416-4871 | 2007-02-05 |
| 1164561593 | Thomas Jacobs | Marriage & Family Therapist | 4500 Park Glen Rd, #150, St Louis Park, MN 55416-4871 | 2007-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| 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 |
|---|---|---|---|---|
| 1558907204 | Karen Gallagher Winker | Social Worker | 3850 Park Nicollet Blvd # 61w03b, St Louis Park, MN 55416-2527 | 2019-11-18 |
| 1003327560 | Bethany Lemere Rice | Social Worker | 5891 Cedar Lake Rd S, St Louis Park, MN 55416-1460 | 2017-10-23 |
| 1235527052 | Rogene L Tweeten Bergquist | Social Worker | 2501 Yukon Ave S, St Louis Park, MN 55426-2420 | 2014-12-31 |
| 1942422092 | Lynn Ericson Starr | Social Worker | 7204 W 27th St, Suite 205, St Louis Park, MN 55426-3157 | 2007-05-02 |
| 1578691606 | Charlene Mayson Portnoy | Social Worker | 6465 Wayzata Blvd Ste 355, St Louis Park, MN 55426-1730 | 2007-03-01 |
| 1184780132 | Barbara E Pierson | Social Worker | 1660 Highway 100 S Ste 428, St Louis Park, MN 55416-1533 | 2006-12-27 |
| 1346303799 | Celeste M Norcia | Social Worker | 3440 Beltline Blvd, Suite 104, St Louis Park, MN 55416 | 2006-12-18 |
| 1972672087 | Dawn Diana Draayer-thibodeau | Social Worker | 4500 Park Glen Rd Ste 155, St Louis Park, MN 55416-4888 | 2006-11-06 |
| 1598855371 | Susan Marie Davis | Social Worker | 5219 Wayzata Blvd, Suite 240, St Louis Park, MN 55416-1301 | 2006-10-13 |
| 1033202585 | Susan Reynolds | Social Worker | 4601 Excelsior Blvd Ste 400, St Louis Park, MN 55416-4977 | 2006-10-02 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
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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.