M BETH FAGIN (NPI# 1801970819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801970819 |
| Entity Type | Individual |
| Full Name | M BETH FAGIN |
| Credential | LICSW, LMFT |
| Practice Address |
3707 Westmark Cir Minnetonka MN 55345-2242 |
| Practice Telephone | 9529880556 |
| Mailing Telephone | 9529880556 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1041C0700X |
Social Worker Specialization: Clinical |
6206 | MN | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 442 | MN | Behavioral Health & Social Service Providers |
| Street Address |
3707 WESTMARK CIR |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55345-2242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417587205 | Pain Partners LLC | Pharmacist | 15225 Wild Wings Court, Minnetonka, MN 55345 | 2020-01-21 |
| 1356811608 | Caitlin Marie Peterson | Specialist/Technologist | 15708 Wood Knoll Lane, Minnetonka, MN 55345 | 2018-11-29 |
| 1649747007 | West Side Counseling LLC | Community/Behavioral Health | 10520 Wayzata Blvd., Suite 100, Minnetonka, MN 55345 | 2018-10-24 |
| 1689173247 | Theresa Tsuchiya | Psychologist | Relate, Inc., 5125 County Road 101, Suite 300, Minnetonka, MN 55345 | 2018-02-08 |
| 1497264147 | Minnetonka Assisted Living and Hospice | Community Health Worker | 14667 Lake Street Extension, Minnetonka, MN 55345 | 2017-09-26 |
| 1619494671 | Shree Revenue Management | Durable Medical Equipment & Medical Supplies | 6117, Creek Ridge Ct, Minnetonka, MN 55345 | 2017-08-29 |
| 1538606876 | Stefani Yanizeski | Speech-Language Pathologist | Minnesota Autism Center, 5710 Baker Road, Minnetonka, MN 55345 | 2017-01-25 |
| 1790157469 | Greg Anderson | Psychologist | 5125 County Road 101, #300, Relate, Inc., Minnetonka, MN 55345 | 2015-10-21 |
| 1861896375 | Kristine L Smith | Marriage & Family Therapist | 5125 County Road 101 Suite 300, Minnetonka, MN 55345 | 2014-10-13 |
| 1982014460 | Miranda Jean Johnson | Speech-Language Pathologist | 15265 Minnetonka Blvd., Minnetonka, MN 55345 | 2014-05-06 |
| Find all providers in zip 55345 | ||||
| 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 |
|---|---|---|---|---|
| 1609423755 | Kathleen Sprole Licsw, LLC | Social Worker | 10501 Wayzata Blvd Ste 204, Minnetonka, MN 55305-1519 | 2019-08-23 |
| 1174007926 | Nancy J Seldin Van Der Voorn | Social Worker | 4838 Woodridge Ct, Minnetonka, MN 55345-3935 | 2018-09-18 |
| 1639536113 | Daniel Neumann | Social Worker | 15665 Woodgate Rd S, Minnetonka, MN 55345-4538 | 2016-01-28 |
| 1437419397 | Tikvah Counseling LLC | Social Worker | 14024 Royal Ct, Minnetonka, MN 55345-3928 | 2012-05-24 |
| 1851651046 | Windows On The World Therapy Services, LLC | Social Worker | 12700 Sherwood Pl, 107, Minnetonka, MN 55305-2449 | 2012-05-21 |
| 1417223371 | Kelly M Nelson | Social Worker | 11708 Wayzata Blvd, Minnetonka, MN 55305-2014 | 2012-03-26 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| 1942531009 | Susan Mae Keith | Social Worker | 12601 Ridgedale Dr, Minnetonka, MN 55305-1908 | 2010-01-28 |
| 1306975206 | Marsha Kay Molinari | Social Worker | 11900 Wayzata Blvd., Suite #116g, Minnetonka, MN 55305 | 2007-03-05 |
| 1154485399 | Warren O Watson | Social Worker | 15320 Minnetonka Blvd, #200, Minnetonka, MN 55345 | 2006-12-21 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55345 |
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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.