MRS. KELLEY NICOLE MARKS (NPI# 1457864704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457864704 |
| Entity Type | Individual |
| Full Name | MRS. KELLEY NICOLE MARKS |
| Credential | MSW, LICSW |
| Practice Address |
3300 Oakdale Ave N Robbinsdale MN 55422-2926 |
| Practice Telephone | 7635815372 |
| Practice Fax Number | 7635815371 |
| Mailing Telephone | 7635815372 |
| Mailing Fax Number | 7635815371 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2018-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
21162 | MN | Behavioral Health & Social Service Providers |
| Street Address |
3300 OAKDALE AVE N |
| City | ROBBINSDALE |
| State | MN |
| Zip Code | 55422-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891795928 | Brian J De Michaelis | Radiology | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2005-07-29 |
| 1861093023 | Linda Yang | Nurse Anesthetist, Certified Registered | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-11-04 |
| 1265033815 | Andrew Mattila | Nurse Anesthetist, Certified Registered | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-11-02 |
| 1760081293 | Kirk Acero Butler | Nurse Anesthetist, Certified Registered | 3300 Oakdale Ave N, Robbinsdale, MN 55422 | 2020-10-26 |
| 1366056889 | Kelly L Downes | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422 | 2020-09-02 |
| 1568070209 | Alicia M Reichenbach | Nurse Practitioner | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-07-20 |
| 1427676550 | Kate Elizabeth Mastel | Nurse Practitioner | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-07-06 |
| 1730715707 | Amanda Evans | Physical Therapist | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-03-20 |
| 1417583766 | Karen R Diehl | Registered Nurse | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-03-19 |
| 1821624248 | Greta Danae Mousel | Registered Nurse | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
| 1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
| 1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| Find all providers in zip 55422 | ||||
| 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 |
|---|---|---|---|---|
| 1871715136 | North Memorial Health Care | Social Worker | 3366 Oakdale Ave N Ste 315, Robbinsdale, MN 55422-2967 | 2007-05-03 |
| 1649348848 | Annischa E Cook | Social Worker | 4213 Vera Cruz Ave N, Robbinsdale, MN 55422-1210 | 2006-12-04 |
| 1154957439 | Gina Lynn Misiewicz | Social Worker | 3300 Oakdale Avenue N, Robbinsdale, MN 55422 | 2020-03-18 |
| 1619516408 | Rojina M Mccarthy | Social Worker | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2019-12-27 |
| 1942716931 | Heather Tracey | Social Worker | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2017-12-28 |
| 1447796909 | Courtney Jacobsen | Social Worker | 3300 Oakdale Ave N, Robbinsdale, MN 55422 | 2017-01-09 |
| 1275078966 | Brenda Blaisdell | Social Worker | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2017-01-04 |
| 1336696699 | Nia Sopiwnik Stewart | Social Worker | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2016-09-04 |
| 1841626132 | Olufunmilola Okanla | Social Worker | 3300 Oakdale Ave N, Robbinsdale, MN 55422 | 2013-09-19 |
| 1770868499 | Alison Jean Wohlfeil | Social Worker | 3300 Oakdale Ave N, Ed Administration, Robbinsdale, MN 55422-2926 | 2011-10-13 |
| Find all providers in ROBBINSDALE | ||||
| City | ROBBINSDALE |
| Zip Code | 55422 |
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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.