KEVIN MARK BEAUDRY (NPI# 1306396494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306396494 |
| Entity Type | Individual |
| Full Name | KEVIN MARK BEAUDRY |
| Credential | LGSW |
| Practice Address |
2501 Lowry Ave Ne # J9 St Anthony MN 55418-4262 |
| Practice Telephone | 6517880575 |
| Mailing Telephone | 6517880575 |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 25626 | MN | Behavioral Health & Social Service Providers |
| Street Address |
2501 LOWRY AVE NE # J9 |
| City | ST ANTHONY |
| State | MN |
| Zip Code | 55418-4262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347854 | Shining Light Skill Building LLC | Psychologist | 3055 Old Highway 8 Ste 106b, St. Anthony, MN 55418 | 2020-08-17 |
| 1033744008 | Star Health Services | Clinic/Center | 3055 Old High 8, Saint Anthony, MN 55418 | 2020-03-10 |
| 1154974913 | Magnolia Home Healthcare LLC | Durable Medical Equipment & Medical Supplies | 951 Ne Lowry Ave #314, Minneapolis, MN 55418 | 2019-07-22 |
| 1255825345 | Senzilla Health Services, LLC | Clinic/Center | 3035 Old Highway 8, Suite 101f, St. Anthony, MN 55418 | 2018-06-21 |
| 1932642113 | Allyson Plumberg | Speech-Language Pathologist | 2568 Kenzie Terrace, Apt 211, St Anthony, MN 55418 | 2016-11-21 |
| 1053782961 | Exel Mobility Inc | Non-emergency Medical Transport (VAN) | 2302 Central Avenue, Minneapolis, MN 55418 | 2015-10-19 |
| 1447620893 | Bille Bus Transportation, Inc | Non-emergency Medical Transport (VAN) | 2500 Hwy 88, Suite 218, Minneapolis, MN 55418 | 2015-09-29 |
| 1508242108 | Caring Companions Home Health Care | Home Health | 3055 Old High Way 8 Suite 109, St Anthony, MN 55418 | 2015-08-05 |
| 1477934438 | Hybrid Behavioral Health | Community/Behavioral Health | 2221 Polk St Ne, Minneapolis, MN 55418 | 2015-06-16 |
| 1316343551 | Hennepin Healthcare Systems, Inc | Pharmacy | 2714 County Rd 88, Minneapolis, MN 55418 | 2014-11-17 |
| Find all providers in zip 55418 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720608854 | Muna Abdi Khalif | Social Worker | 3055 Old Highway 8 # 348, St Anthony, MN 55418-2500 | 2020-04-18 |
| 1023661766 | Zainab Yusuf | Social Worker | 3055 Old Highway 8 Ste 160, St Anthony, MN 55418-2595 | 2019-07-22 |
| 1255976809 | Najmo Ali | Social Worker | 3055 Old Highway 8 Ste 160, St Anthony, MN 55418-2595 | 2019-11-07 |
| 1760026017 | Marwa Ali | Social Worker | 3055 Old Highway 8 Ste 160, St Anthony, MN 55418-2595 | 2019-10-30 |
| 1770127284 | Safa Ali | Social Worker | 3055 Old Highway 8 Ste 160, St Anthony, MN 55418-2595 | 2019-10-29 |
| 1578107082 | Samira Derie | Social Worker | 3055 Old Highway 8 Ste 160, St Anthony, MN 55418-2595 | 2019-10-29 |
| 1144864661 | Adna Maxamed | Social Worker | 3055 Old Highway 8 Ste 160, St Anthony, MN 55418-2595 | 2019-10-29 |
| 1205470705 | Sayidahmed Sayid | Social Worker | 3055 Old Highway 8 Ste 160, St Anthony, MN 55418-2595 | 2019-10-29 |
| 1447894969 | Ubah Yusuf | Social Worker | 3055 Old Highway 8 Ste 160, St Anthony, MN 55418-2595 | 2019-10-29 |
| 1881245587 | Naima Hussein | Social Worker | 3055 Old Highway 8 Ste 160, St Anthony, MN 55418-2595 | 2019-09-24 |
| Find all providers in ST ANTHONY | ||||
| City | ST ANTHONY |
| Zip Code | 55418 |
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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.