JOHN REILLY (NPI# 1578661419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578661419 |
Entity Type | Individual |
Full Name | JOHN REILLY |
Credential | LICSW |
Practice Address |
4123 E Lake St Minneapolis MN 55406-2255 |
Practice Telephone | (612) 728-2061 |
Mailing Telephone | (612) 728-2061 |
Enumeration Date | 2006-09-21 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
788 | MN | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 354557100 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1121 E 46th St, Minneapolis, MN 554073562 | 6128279304 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659761476 | John Reilly IIi | Psychologist | 31 Kennedy Road Anx, Weaverville, NC 28787-9395 | 2015-02-01 |
1861770406 | John T Reilly | Physician Assistant | 8 Brander Parkway, Shelter Island, NY 11964-1980 | 2011-08-01 |
1689884322 | John F Reilly | Social Worker | 16 Spaulding Rd, Chelmsford, MA 01824-1022 | 2007-05-23 |
1700900891 | John Allen Reilly | Internal Medicine | 16722 Annandale Rd Ste D-1, Emmitsburg, MD 21727 | 2007-03-16 |
1417032954 | John Wesley Reilly | Psychologist | 12636 Se Stark, Portland, OR 97233 | 2006-10-25 |
1497850481 | John Francis Reilly Jr. | Internal Medicine | 53 Briar Hill Rd, Orchard Park, NY 14127-3546 | 2006-09-14 |
1659487080 | John Jennings Reilly | Dentist | 640 Bankview Dr, Suite #3, Frankfort, IL 60423-1383 | 2006-08-21 |
1932113941 | John Reilly | Physical Therapist | 121 Nantasket Ave, Suite 105, Hull, MA 02045-3106 | 2006-07-27 |
1124061510 | John Richard Reilly | Emergency Medicine | 4200 Wisconsin Ave Nw, #223, Washington, DC 20016-2143 | 2006-06-14 |
1154317709 | John J. Reilly Jr. | Internal Medicine | 3550 Terrace St, Scaife Hall, Room 1218, Pittsburgh, PA 15213-2500 | 2005-09-20 |
Street Address |
4123 E LAKE ST |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55406-2255 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639779135 | Stephanie Contreras Romero | Counselor | 4123 E Lake St, Minneapolis, MN 55406-2255 | 2020-10-26 |
1073000253 | Regina Esliker | Counselor | 4123 E Lake St, Minneapolis, MN 55406-2255 | 2018-04-13 |
1659817237 | Rosemary Frazel | Social Worker | 4123 E Lake St, Minneapolis, MN 55406-2255 | 2017-01-06 |
1508309741 | Krista Leanne Henrich | Marriage & Family Therapist | 4123 E Lake St, Minneapolis, MN 55406-2255 | 2016-11-21 |
1548685456 | Sarah Marie Johnston | Social Worker | 4123 E Lake St, Minneapolis, MN 55406-2255 | 2014-02-28 |
1518205681 | Lucille Rosario | Social Worker | 4123 E Lake St, Minneapolis, MN 55406-2255 | 2013-01-24 |
1972800753 | Kathleen Kelly | Social Worker | 4123 E Lake St, Minneapolis, MN 55406-2255 | 2011-02-14 |
1700187887 | Emily Jean Walker | Social Worker | 4123 E Lake St, Minneapolis, MN 55406-2255 | 2010-11-05 |
1184943532 | Cindy Nelson | Social Worker | 4123 E Lake St, Minneapolis, MN 55406-2255 | 2010-05-25 |
1740518687 | Nancy Ann Miller | Social Worker | 4123 E Lake St, Minneapolis, MN 55406-2255 | 2009-12-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689286221 | Hoa Bui | Pharmacist | 4547 Hiawatha, Minneapolis, MN 55406 | 2020-08-17 |
1184263253 | Carrie Shannon Nightshade | Acupuncturist | 3706 E 42nd Street, Minneapolis, MN 55406 | 2020-01-06 |
1164060059 | Deborah Owen | Acupuncturist | 3706 E 42nd St, Minneapolis, MN 55406 | 2019-12-11 |
1194290593 | Noelle Therese Wolf | Counselor | 2637 27th Ave S # 229, Minneapolis, MN 55406 | 2018-10-11 |
1255819819 | Ayan Osman Ali | Behavior Technician | 3355 Haiwatha Ave Suite 100, Minneapolis, MN 55406 | 2018-08-04 |
1881188597 | Lydia Joy Allison | Massage Therapist | 2933 29th Ave. S., Minneapolis, MN 55406 | 2018-06-15 |
1497261770 | Carroll Lee Beaty | Massage Therapist | 2801 42nd Ave. So., Minneapolis, MN 55406 | 2017-12-21 |
1578082798 | Capitol Cafe LLC | Home Delivered Meals | 2417 E Franklin Ave, Capitol Cafe, Minneapolis, MN 55406 | 2017-09-19 |
1851823942 | Safia Abdulkadir Mohamud | Contractor | 2740 Minnehaha Ave Suit 100, Minneapolis, MN 55406 | 2017-03-29 |
1881051944 | Sos Transportation LLC | Non-emergency Medical Transport (VAN) | 3355 Haiwatha Ave Suit 100, Minneapolis, MN 55406 | 2016-01-20 |
Find all providers in zip 55406 |
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 |
---|---|---|---|---|
1811597784 | Nadia Sullivan | Social Worker | 250 S 4th St # 510, Minneapolis, MN 55415-1321 | 2020-10-29 |
1972102580 | Grace Christine Haugen | Social Worker | 3408 18th Ave S, Minneapolis, MN 55407-2779 | 2020-10-23 |
1629677422 | Tracy Flanagan Lewis | Social Worker | 410 E 48th St # 5, Minneapolis, MN 55419-5651 | 2020-10-22 |
1093312985 | Concord Psychotherapy Inc. | Social Worker | 4749 Chicago Ave Ste 1b, Minneapolis, MN 55407-4181 | 2020-10-05 |
1376167056 | Jennifer Hooyman | Social Worker | 3126 Cleveland St Ne, Minneapolis, MN 55418-2330 | 2020-05-29 |
1649893777 | Sarah Slathar | Social Worker | 2511 Grand St Ne # 2, Minneapolis, MN 55418-3318 | 2020-05-23 |
1811510332 | Madison Keel Peton | Social Worker | 825 Nicollet Mall Ste 455, Minneapolis, MN 55402-2606 | 2020-05-19 |
1538789474 | Mackenzie Landbloom | Social Worker | 825 S 8th St Ste 400, Minneapolis, MN 55404-1216 | 2020-04-21 |
1568090462 | Paul Samuel Schuster | Social Worker | 3249 Hennepin Ave Ste 258, Minneapolis, MN 55408-3993 | 2020-03-28 |
1053947077 | Natalie Jean Taber | Social Worker | 1645 Hennepin Ave Ste 221, Minneapolis, MN 55403-1701 | 2020-03-21 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55406 |
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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.