KELLY S EICKHOFF (NPI# 1437633609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437633609 |
| Entity Type | Individual |
| Full Name | KELLY S EICKHOFF |
| Practice Address |
9120 Springbrook Dr Nw Coon Rapids MN 55433 |
| Mailing Address |
9120 Springbrook Dr Nw Coon Rapids MN 55433-5845 |
| Practice Telephone | 6127677222 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 21596 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 721 Commerce Drive, Woodbury, MN 55125 | 6514244053 |
| Street Address |
9120 SPRINGBROOK DR NW |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720117997 | Brenda Janice Crespo | Psychologist | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2007-03-05 |
| 1730789629 | Ellen Grace Barnhart | Occupational Therapist | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2020-10-29 |
| 1821698150 | Stephanus Badenhorst | Behavior Technician | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2020-10-27 |
| 1396350948 | Elizabeth Ashley Mann | Social Worker | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2020-09-10 |
| 1366056129 | Tracy Swati | Behavior Technician | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2020-08-31 |
| 1285247973 | Cheyenne Rose Phillips | Behavior Technician | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2020-08-24 |
| 1104435692 | Jessica Groth | Behavior Technician | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2020-07-30 |
| 1487272704 | Tristin Dooley | Behavior Technician | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2020-07-13 |
| 1467070789 | Sarah Novack | Behavior Technician | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2020-07-13 |
| 1194343426 | Nina Mary Melin | Behavior Technician | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2020-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| 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 |
|---|---|---|---|---|
| 1639606502 | Ryan Goman | Social Worker | 12149 Tulip St Nw, Coon Rapids, MN 55433-6767 | 2017-05-22 |
| 1376996926 | Joann Gasner | Social Worker | 9848 Foley Blvd Nw, Coon Rapids, MN 55433-5617 | 2016-07-19 |
| 1316301039 | Erin Blacik | Social Worker | 10077 Dogwood St Nw Ste 200, Coon Rapids, MN 55448-5287 | 2016-04-08 |
| 1841202439 | Miriam Gonzalez Ulrich | Social Worker | 2401 123rd Cir Nw, Coon Rapids, MN 55448-7096 | 2006-08-12 |
| 1083806657 | Errin Marie Musich | Social Worker | 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708 | 2007-08-16 |
| 1194867432 | Marlene Ann Beecroft | Social Worker | 1930 Coon Rapids Boulevard, Family Life Mental Health Center, Coon Rapids, MN 55433 | 2007-02-13 |
| 1902968308 | Gretchen M Wesche Sherman | Social Worker | 425 Coon Rapids Blvd, 200, Coon Rapids, MN 55433 | 2006-12-14 |
| 1841398260 | Elizabeth Ruskin Shanklin | Social Worker | 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708 | 2006-09-20 |
| 1073575999 | Rosalin Ardele Chrest | Social Worker | 1930 Coon Rapids Boulevard, Family Life Mental Health Center, Coon Rapids, MN 55433 | 2006-04-05 |
| 1669434445 | Scott Charles Elkerton | Social Worker | 1930 Coon Rapids Blvd Nw, Family Life Mental Health Center, Coon Rapids, MN 55433-4708 | 2006-04-05 |
| Find all providers in COON RAPIDS | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
Please comment or provide details below to improve the information on KELLY S EICKHOFF.
| 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.