MARY CRANDALL (NPI# 1851836423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851836423 |
| Entity Type | Individual |
| Full Name | MARY CRANDALL |
| Practice Address |
329 Faribault Rd Faribault MN 55021-5780 |
| Practice Telephone | 5073341030 |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
22949 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376780999 | Mary Crandall | Nurse Practitioner | 1001 Johnson Ferry Rd Ne, Childrens Rehab Assoc At Childr, Atlanta, GA 30342-1605 | 2009-01-20 |
| Street Address |
329 FARIBAULT RD |
| City | FARIBAULT |
| State | MN |
| Zip Code | 55021-5780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417949207 | Glenn Courtier Holman | Psychologist | 329 Faribault Rd, Faribault, MN 55021-5780 | 2005-08-17 |
| 1780123489 | John Houston Schneider | Social Worker | 329 Faribault Rd, Faribault, MN 55021-5780 | 2017-02-15 |
| 1508967175 | Gopher Transportation | Clinic/Center | 329 Faribault Rd, Faribault, MN 55021-5780 | 2006-09-26 |
| 1659470409 | Mary Lee | Counselor | 329 Faribault Rd, Faribault, MN 55021-5780 | 2006-09-21 |
| 1952321424 | Cedar House Inc. | Clinic/Center | 329 Faribault Rd, Faribault, MN 55021-5780 | 2006-07-20 |
| 1457344731 | Faribault Psychological Services Pa | Clinic/Center | 329 Faribault Rd, Faribault, MN 55021-5780 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872831 | Kent William Lundstrom | Pharmacist | 612 4th Street Nw, Faribault, MN 55021 | 2020-08-19 |
| 1053957357 | M&t Sisters of Serendipity Pllc | Counselor | 212a Centralave, Faribault, MN 55021 | 2019-11-21 |
| 1639720485 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 200 8th Avenue Nw, Faribault, MN 55021 | 2019-09-24 |
| 1235663428 | Tanya Borchert | Social Worker | 100 State Avenue, Faribault, MN 55021 | 2017-04-14 |
| 1235589854 | Bashir Omar I | Interpreter | 2426 Park Ave # 309, Faribault, MN 55021 | 2016-06-14 |
| 1790150381 | Rainbow United Care Transportation LLC | Non-emergency Medical Transport (VAN) | 1738 Patrick Bay, Faribault, MN 55021 | 2015-12-08 |
| 1740625938 | Steven James Klapmeier | Family Medicine | 1101 Linden Lane, Mcfffrb Health Service, Faribault, MN 55021 | 2013-05-02 |
| 1528306040 | Discovery Public School of Faribault | Local Education Agency (LEA) | 126 8th St. Nw, Faribault, MN 55021 | 2013-01-17 |
| 1164790374 | Emmanuel Douah | Pharmacist | 612 4th Avenue Nw, Faribault, MN 55021 | 2011-12-02 |
| 1770873937 | Faribault Senior Living LLC | Assisted Living Facility | 843 Faribault Road, Faribault, MN 55021 | 2011-04-08 |
| Find all providers in zip 55021 | ||||
| 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 |
|---|---|---|---|---|
| 1154949741 | Susan M Warring | Social Worker | 418 Heritage Pl Ste C, Faribault, MN 55021-5458 | 2020-07-09 |
| 1144720038 | Janine M. Brady | Social Worker | 8127 Nw 70th Ave, Faribault, MN 55021-8489 | 2018-02-16 |
| 1235663428 | Tanya Borchert | Social Worker | 100 State Avenue, Faribault, MN 55021 | 2017-04-14 |
| 1568746469 | Douglas Herman Goke | Social Worker | 1500 Wellington Cres, Faribault, MN 55021-6731 | 2011-10-11 |
| 1104127562 | David James Rabine-young | Social Worker | 2504 Woodland Dr, Faribault, MN 55021-2249 | 2010-11-16 |
| 1093359424 | Sadie Elizabeth Watts | Social Worker | 625 3rd Ave Nw, Faribault, MN 55021-4219 | 2019-10-29 |
| 1376026989 | Sheryl Borka | Social Worker | 100 State Ave, Faribault, MN 55021 | 2018-09-10 |
| 1164917498 | Lucy Baquero Oja | Social Worker | 410 Central Ave N, Faribault, MN 55021-5217 | 2018-06-28 |
| 1780123489 | John Houston Schneider | Social Worker | 329 Faribault Rd, Faribault, MN 55021-5780 | 2017-02-15 |
| 1154774255 | Resilient Living LLC | Social Worker | 21378 Elmore Ave, Faribault, MN 55021-7883 | 2016-07-13 |
| Find all providers in FARIBAULT | ||||
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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.