SUSAN C WASILK (NPI# 1245561711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245561711 |
| Entity Type | Individual |
| Full Name | SUSAN C WASILK |
| Credential | M.S.W., L.I.C.S.W. |
| Practice Address |
13750 Crosstown Dr Nw Suite 106 Andover MN 55304-5853 |
| Practice Telephone | 6123881543 |
| Mailing Telephone | 6123881543 |
| Enumeration Date | 2010-01-23 |
| Last Update Date | 2011-05-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
14177 | MN | Behavioral Health & Social Service Providers |
| Street Address |
13750 CROSSTOWN DR NW SUITE 106 |
| City | ANDOVER |
| State | MN |
| Zip Code | 55304-5853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255337408 | Wayne Edward Pratt | Chiropractor | 13750 Crosstown Dr Nw, Suite L102, Andover, MN 55304-5853 | 2005-06-22 |
| 1043662414 | Gary Scott Howard | Counselor | 13750 Crosstown Dr Nw, Molly Professional Center,phase II #207, Andover, MN 55304-5853 | 2016-07-08 |
| 1760841662 | Bennett Jones | Social Worker | 13750 Crosstown Dr Nw, Molly Professional Center, Phase II, #207, Andover, MN 55304-5853 | 2016-02-19 |
| 1770731739 | Pamela Ann Robsahm | Specialist | 13750 Crosstown Dr Nw, Suite L100, Andover, MN 55304-5853 | 2008-09-03 |
| 1356515290 | Cheryl Lynne Olmsted | Massage Therapist | 13750 Crosstown Dr Nw, Suite L100, Andover, MN 55304-5853 | 2008-04-22 |
| 1881886570 | Jennie Marie Graff-dolezal | Marriage & Family Therapist | 13750 Crosstown Dr Nw, Suite 102, Andover, MN 55304-5853 | 2007-08-16 |
| 1538370820 | Benjamin J Wolf | Social Worker | 13750 Crosstown Dr Nw, Suite L101, Andover, MN 55304-5853 | 2007-05-25 |
| 1487786018 | Lynn M. Swanson | Occupational Therapist | 13750 Crosstown Dr Nw, Andover, MN 55304-5853 | 2007-03-09 |
| 1770629297 | Carrie Latvala Jerylo | Speech-Language Pathologist | 13750 Crosstown Dr Nw, Suite 310, Andover, MN 55304-5853 | 2007-01-30 |
| 1013063213 | Melissa Sue Lonsky | Speech-Language Pathologist | 13750 Crosstown Dr Nw, Andover, MN 55304-5853 | 2007-01-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114402211 | Sarah Sue Anderson | Speech-Language Pathologist | 1891 Station Pkwy, Andover, MN 55304 | 2018-09-25 |
| 1306354329 | Jennifer Lynn Larkey I | Counselor | 1875 Station Parkway N.w. Andover, Mn 55304, Andover, MN 55304 | 2018-01-11 |
| 1124544895 | Msp Dentistry Inc | Preferred Provider Organization | 13650 Hanson Blvd., Suite #110, Andover, MN 55304 | 2017-08-15 |
| 1912427931 | Brooke Nicole Halliday | Counselor | 1875 Station Pkwy Ne, Andover, MN 55304 | 2017-06-21 |
| 1700286903 | Jari Welle, Inc. | Marriage & Family Therapist | 1328 Mckay Drive Ne, Suite 100, Ham Lake, MN 55304 | 2014-08-26 |
| 1356765192 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1889 139th Ave Nw, Andover, MN 55304 | 2014-02-14 |
| 1326462177 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1899 139th Ave Nw, Andover, MN 55304 | 2014-02-14 |
| 1740619568 | Delores Weikle | Physical Therapist | 14531 Jay St, Andover, MN 55304 | 2013-11-02 |
| 1730527003 | Darkou Care Services | Home Health | 14297 Zilla Street Nw, Andover, MN 55304 | 2013-06-10 |
| 1770927758 | Arbor Oaks Senior Living | Assisted Living Facility | 1640 155th Lane Nw, Andover, MN 55304 | 2013-04-22 |
| Find all providers in zip 55304 | ||||
| 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 |
|---|---|---|---|---|
| 1063022648 | Karen Sullivan | Social Worker | 52 Gray Rd, Andover, MA 01810-2219 | 2020-08-07 |
| 1013555820 | Mccool Psychotherapy LLC | Social Worker | 93 Main St Ste 213, Andover, MA 01810-3847 | 2019-12-12 |
| 1154806727 | Karyn Lynn Sheehan | Social Worker | 10 Deerberry Ln, Andover, MA 01810-3254 | 2018-09-30 |
| 1568947117 | Leslie Ganley | Social Worker | 42 Washington Ave, Andover, MA 01810-1724 | 2018-09-30 |
| 1851876452 | Debra J Laquidara | Social Worker | 4 Alderbrook Rd, Andover, MA 01810-6102 | 2018-09-28 |
| 1255815338 | Sandra Marie Carroll | Social Worker | 7 Shandel Cir, Andover, MA 01810-4879 | 2018-09-24 |
| 1215411376 | Andover Social Development and Counseling Center | Social Worker | 89 N Main St Ste 3, Andover, MA 01810-3581 | 2018-09-24 |
| 1972087138 | Mia Cloonan | Social Worker | 1 Punchard Avenue, Apt. 3 Rear, Andover, MA 01810 | 2018-09-23 |
| 1114401445 | Rebecca R Tamasanis | Social Worker | 10 Bateson Dr, Andover, MA 01810-3402 | 2018-09-22 |
| 1669956140 | Jennifer Allen | Social Worker | 10 Johnson Rd, Andover, MA 01810-1712 | 2018-09-20 |
| Find all providers in ANDOVER | ||||
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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.