KELLY ANN TATE (NPI# 1790323756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790323756 |
| Entity Type | Individual |
| Full Name | KELLY ANN TATE |
| Credential | LICSW |
| Practice Address |
401 Harding St Ne Ste 100 Minneapolis MN 55413-2801 |
| Practice Telephone | 6123987000 |
| Mailing Telephone | 6123987000 |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2019-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
14704 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326203100 | Kelly R Tate | Counselor | 25882 Orchard Lake Rd Ste L-7a, Farmington Hills, MI 48336-1269 | 2008-07-22 |
| 1447212378 | Kelly H Tate | Nurse Practitioner | 199 E.b. Tate Road, Burlington, NC 27217 | 2006-04-05 |
| 1396020467 | Kelly Tate | Pharmacist | 101 Doug Baker Blvd, Birmingham, AL 35242-2675 | 2011-10-19 |
| 1558481812 | Kelly Tate | Pharmacy Technician | 1438 Hardcastle Blvd, Purcell, OK 73080-8233 | 2007-03-30 |
| 1700839040 | Kelly S Tate | Family Medicine | 1724 Kenton St, Suite 2 A, Hopkinsville, KY 42240-1981 | 2006-05-18 |
| Street Address |
401 HARDING ST NE STE 100 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55413-2801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366401143 | Lisa M Renard Paule | Nurse Practitioner | 401 Harding St Ne Ste 100, Minneapolis, MN 55413-2801 | 2006-03-21 |
| 1134751274 | Specialized Medical Response, LLC | Internal Medicine | 401 Harding St Ne Ste 100, Minneapolis, MN 55413-2801 | 2020-02-06 |
| 1679124366 | Kathryn Grace Madson | Social Worker | 401 Harding St Ne Ste 100, Minneapolis, MN 55413-2801 | 2019-09-24 |
| 1174177885 | Christin Mary Ament | Nurse Practitioner | 401 Harding St Ne Ste 100, Minneapolis, MN 55413-2801 | 2019-07-31 |
| 1023575263 | Jeffrey Donald Larson | Counselor | 401 Harding St Ne Ste 100, Minneapolis, MN 55413-2801 | 2019-02-25 |
| 1568988079 | Taiwo Afuye | Nurse Practitioner | 401 Harding St Ne Ste 100, Minneapolis, MN 55413-2801 | 2017-08-16 |
| 1538693247 | Deanna Ebert | Nurse Practitioner | 401 Harding St Ne Ste 100, Minneapolis, MN 55413-2801 | 2017-04-19 |
| 1508007378 | Amy Christine Erickson Klopp | Nurse Practitioner | 401 Harding St Ne Ste 100, Minneapolis, MN 55413-2801 | 2009-03-09 |
| 1972757078 | Sandra Ellen Schellinger | Nurse Practitioner | 401 Harding St Ne Ste 100, Minneapolis, MN 55413-2801 | 2008-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295372274 | Alysia R Schwartz | Counselor | 2155 E Hennepin Ave, Minneapolis, MN 55413 | 2019-12-09 |
| 1427609304 | Lingguang Liu | Acupuncturist | 2021 East Hennepin Ave, Suite 412, Minneapolis, MN 55413 | 2019-09-23 |
| 1437708617 | Dream Home Health Care Inc | Home Health | 2021 E Hennepin Ave, Ste 190, Minneapolis, MN 55413 | 2019-09-10 |
| 1831746536 | Aline Care | Case Management | 1730 New Brighton Blvd Ste 300, Minneapolis, MN 55413 | 2019-08-19 |
| 1073171534 | Relate Nutrition & Therapy | Dietitian, Registered | 79 13th Ave Ne, Suite 103b, Minneapolis, MN 55413 | 2019-05-30 |
| 1740703461 | Emily Rudert | Counselor | 5407 Excelsior Blvd Suite A, B, & E, St. Louis Park, MN 55413 | 2017-07-25 |
| 1316305485 | Capital Transportation LLC | Non-emergency Medical Transport (VAN) | 34 13th Ave Ne #b004, Minneapolis, MN 55413 | 2016-02-04 |
| 1861819989 | Traditionally Healthy | Chiropractor | 1211 Jackson St Ne, Suite 121, Minneapolis, MN 55413 | 2014-03-26 |
| 1588000871 | Aztec's Transportation and Home-care LLC | Non-emergency Medical Transport (VAN) | 843 Summer St Ne #2, Minneapolis, MN 55413 | 2013-05-14 |
| 1114285418 | Best Care Transportation | Non-emergency Medical Transport (VAN) | 2021 E Hennepin Ave Ste. 187, Minneapolis, MN 55413 | 2012-04-25 |
| Find all providers in zip 55413 | ||||
| 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 | 55413 |
Please comment or provide details below to improve the information on KELLY ANN TATE.
| 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.