JOHN REILLY


Address: 4123 E Lake St, Minneapolis, MN 55406-2255
Phone: (612) 728-2061

JOHN REILLY (NPI# 1578661419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
788 MN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN 354557100 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1121 E 46th St, Minneapolis, MN 554073562 6128279304

Other Providers JOHN REILLY

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

Office Location

Street Address 4123 E LAKE ST
City MINNEAPOLIS
State MN
Zip Code 55406-2255

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City MINNEAPOLIS
Zip Code 55406

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Dataset Information

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.

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